Treatment Of Chronic Obstruction Research Articles

Treatment of chronic obstruction as late complication of adjustable gastric band

Laparoscopic adjustable gastric banding is growing in popularity in the United States. A rare late complication is obstruction at the level of the band, with concentric gastric pouch dilation. In our patient, endoscopy showed gastric pouch dilation with food impaction and a restricted outlet. We describe the combined endoscopic and laparoscopic approach for alleviation of chronic obstruction as a late complication of an adjustable gastric band. This combined approach included laparoscopic band removal and scar excision with intraoperative endoscopic dilation.

V11: Treatment of chronic obstruction as a late complication of an adjustable gastric band

Erosion and slippage are potential late complications after laparoscopic adjustable gastric banding. Obstruction is also a potential late complication related to the development of a fibrotic scar at the level of the band. In this video, we demonstrate our laparoscopic technique for removal of the band with division of the fibrotic scar combined with endoscopic balloon dilation.

Treatment of chronic obstruction of the axillary, subclavian, and innominate veins

Of 79 patients seen at the University of Minnesota with symptomatic chronic obstruction of the axillary subclavian or innominate vein, 65 were considered surgical candidates. Etiology of the obstruction was as follows: Group A (n = 45), previous subclavian effort thrombosis; Group B (n = 14), stenosis caused by occupation or sport activities; and Group C (n = 6), long segments (4–7.2 cm) of obstruction caused by chronic intraluminal placement of devices (catheters, pacemaker, or defibrillator leads).

POSTDIPHTHERITIC STENOSIS OF THE LARYNX

In this paper, when I speak of diphtheritic stenosis of the larynx, I mean, not acute laryngeal diphtheria in which the O'Dwyer method of intubation has been and should be used, but the chronic type in which it has been necessary to reintubate the patient after a period of a month to six weeks; in other words, chronic tube cases. John Rogers, 1 in his paper on treatment of chronic obstruction in the larynx and trachea, read before the American Laryngological Association on June 3, 1905, stated: Hypertrophic subglottic laryngitis is most commonly encountered in retained tube cases, less often in those with a retained tracheal cannula and almost always after diphtheria. Diphtheria as an etiologic factor in stenosis of the larynx is well established. Coplin 2 in his Special Pathology, showed in 220 patients examined by Councilman, that the larynx is involved more than any other part of the