Laparoscopic repositioning of an adjustable silicone gastric band for pouch dilatation and stoma obstruction |
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Authors: | E Niville A Dams T Anné |
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Institution: | (1) Department of Abdominal Surgery, Ziekenhuis Oost-Limburg, Schiepse Bos 6, B-3600 Genk, Belgium, BE |
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Abstract: | Pouch dilatation with stoma obstruction is a well-known late complication after adjustable gastric banding operations for
morbid obesity. Surgical treatment of this problem usually results in removal of the band, with or without replacement by
another, or in repositioning of the band via laparotomy. We present the case of a patient with late pouch dilatation and stoma
obstruction after placement of a Laparoscopic Adjustable Gastric Banding system (LAGB—Bioenterics) and in whom the adjustable
band was laparoscopically opened, disconnected from the access port, and repositioned more proximally on the stomach. The
postoperative course was uneventful. A postoperative radiographic contrast examination showed a correct repositioning of the
band. The case demonstrates that the LAGB can be successfully opened and repositioned by a minimal invasive procedure. This
is the first time to our knowledge that such a procedure has been reported.
Received: 25 May 1996/Accepted: 26 November 1996 |
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Keywords: | : Pouch dilatation — Laparoscopic adjustable gastric banding — Morbid obesity — Stoma obstruction |
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