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Technical Points in Vertical Gastroplasty for Morbid Obesity
Authors:Graham S W Whiteley MS  FRCS  A D Baildam MD  FRCS  D P Walter MB  ChB  MSc  H Neve  T Vincent Taylor MD  ChM  FRCS
Institution:(1) Department of Surgical Gastroenterology, University Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK;(2) Department of Surgical Gastroenterology, University Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK;(3) Department of Surgical Gastroenterology, University Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK;(4) Department of Surgical Gastroenterology, University Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK;(5) Department of Surgical Gastroenterology, University Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
Abstract:The success of vertical gastroplasty may be jeopardized by gastric leakage or ulceration due to failure of the technique. Reports of band erosion and staple-line leakage have led us to seek technical improvements to reduce technical failures. We describe a modification to the technique of band placement and a manoeuvre to aid the placement of staples when the TA90 staple gun is used.
Keywords:Band erosion  crossing staple lines  morbid obesity  silastic ring vertical gastroplasty  technique  vertical banded gastroplasty
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