Initial Experience with Laparoscopic Adjustable Gastric Banding and Pouch Dilatation: Two Cases |
| |
| Authors: | A Neri MD F Mariani M Testa MD A Guarnieri MD Professor A F Carli MD A Piccolomini MD G Vuolo MD L Di Cosmo MD |
| |
| Affiliation: | (1) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(2) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(3) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(4) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(5) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(6) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(7) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy;(8) Centro di Studio Interdisciplinare per il Trattamento Obesity), Surgical Sciences Institute, University of della Grande Obesità (Center for Morbid Siena, Italy |
| |
| Abstract: | Background: Late proximal pouch dilatation (LPPD) has occurred occasionally following gastric banding for morbid obesity. At present, laparoscopic conservative resetting and oversuturing of the band is considered the standard procedure for pouch dilatation without any important posterior component. Methods: Two cases of LPPD are presented, which occurred in our initial experience with the LapBand?, corrected via a laparoscopic approach. Results: The reintervention was necessary in both patients, with conservative laparoscopic repositioning and oversuturing of the band in the first case and laparoscopic substitution of the gastric band in the second. We have not observed further complications, and weight loss has been maintained in a midterm outcome in both cases (30 and 18 months follow-up). Conclusions: LPPD can be corrected with a conservative laparoscopic surgical approach, without complications and negative functional effects on mid-term outcome. |
| |
| Keywords: | MORBID OBESITY BARIATRIC SURGERY LAPAROSCOPY GASTRIC BANDING SURGICAL COMPLICATIONS POUCH DILATATION |
| 本文献已被 PubMed SpringerLink 等数据库收录！ |
|
