Port function after laparoscopic adjustable gastric banding for morbid obesity

  • M. Korenkov
  • S. Sauerland
  • N. Yücel
  • L. Köhler
  • P. Goh
  • J. Schierholz
  • H. Troidl
Original article

Abstract

Background: Laparoscopic adjustable gastric banding (LGB) has gained wide popularity, but information on port function is limited. Methods: In a prospective nonrandomized study, we analyzed port function and related symptoms in 50 consecutive patients with severe obesity. All patients underwent LGP in a five trocar technique. In 11 patients, the port was placed subcutaneously in the subxiphoid region. In 39 patients, the port was implanted in the left upper abdomen. Mean duration of follow-up was 2.8 years. Results: Patients (12 males and 38 females) had an initial body mass index (BMI) of 47.1 kg/m2. Puncturing the subxiphoidal port was without problems in all 11 patients. However, seven women reported pain and inconvenience when wearing a brassiere. Two underwent port reimplantation in the left upper abdomen (one due to infection; one due to pain). Among the 39 patients with abdominal port implantation, nine patients required port correction (two of them twice). The causes were port dislocation (four cases), difficult puncturing (three), tube leakage (three), and infection (one).Conclusion: The high number of complications suggests that the port is the Achilles’ heel of LGB. Ports at the subxiphoid site were easier to puncture, but frequently caused pain in female patients.

Keywords

Gastric banding Complication Port function 

References

  1. 1.
    Angrisani, L, Alkilani, M, Basso, N, Belvederesi, N, Campanile, F, Capizzi, FD, Italian adipositas, group 2001Laparoscopic Italian experience with the Lap-Band.Obes Surg11307310Google Scholar
  2. 2.
    Belachew, M, Legrand, M, Vincenti, VV, Deffechereux, T, Jourdan, JL, Monami, B, Jacquet, N 1995Laparoscopic placement of adjustable silicone gastric band in the treatment of morbid obesity: how to do it.Obes Surg56670CrossRefPubMedGoogle Scholar
  3. 3.
    Busetto, L, Segato, G, De Marchi, F, Foletto, M, De Luca, M, Caniato, D, Favretti, F, Lise, M, Enzi, G 2002Outcome predictors in morbidly obese recipients of an adjustable gastric band.Obes Surg128392CrossRefPubMedGoogle Scholar
  4. 4.
    Chevallier, JM, Zinzindohoué, F, Elian, N, Cherrak, A, Blanche, JP, Berta, JL, Altman, JJ, Cugnenc, PH 2002Adjustable gastric banding in a public university hospital: prospective analysis of 400 patients.Obes Surg129399CrossRefPubMedGoogle Scholar
  5. 5.
    Dargent, J 1999Laparoscopic adjustable gastric banding: lessons from the first 500 patients in a single institution.Obes Surg9446452CrossRefPubMedGoogle Scholar
  6. 6.
    Favretti, F, Cadière, GB, Segato, G, Himpens, J, Busetto, L, De Marchi, F, Vertruyen, M, Enzi, G, De Luca, M, Lise, M 1997Laparoscopic adjustable silicone gastric banding (Lap-Band): how to avoid complications.Obes Surg7352358CrossRefPubMedGoogle Scholar
  7. 7.
    Hainaux, B, Coppens, E, Sattari, A, Vertruyen, M, Hubloux, G, Cadière, GB 1999Laparoscopic adjustable silicone gastric banding: radiological appearances of a new surgical treatment for morbid obesity.Abdom Imaging24533537CrossRefPubMedGoogle Scholar
  8. 8.
    Kuzmak, LI 1991A review of seven years’ experience with silicone gastric banding.Obes Surg1403408CrossRefPubMedGoogle Scholar
  9. 9.
    Mortelé, KJ, Pattijn, P, Mollet, P, Berrevoet, F, Hesse, U, Ceelen, W, Ros, PR 2001The Swedish laparoscopic adjustable gastric banding for morbid obesity: radiologic findings in 218 patients.AJR Am J Roentgenol1777784PubMedGoogle Scholar
  10. 10.
    National Institutes of Health Consensus Development Conference Panel1991Gastrointestinal surgery for severe obesity.Ann Intern Med115956961Google Scholar
  11. 11.
    Szold, A, Abu-Abeid, S 2000Laparoscopic adjustable silicone gastric banding for morbid obesity — results and complications in 715 patients.Surg Endosc16230233CrossRefGoogle Scholar
  12. 12.
    Weiner, R, Bockhorn, H, Rosenthal, R, Wagner, D 2001A prospective randomized trial of different laparoscopic gastric banding techniques for morbid obesity.Surg Endosc156368CrossRefPubMedGoogle Scholar
  13. 13.
    Weiss, H, Nehoda, H, Labeck, B, Hourmont, K, Lanthaler, M, Aigner, F 2000Injection port complications after gastric banding: incidence, management and prevention.Obes Surg10259262CrossRefPubMedGoogle Scholar
  14. 14.
    Wiesner, W, Schöb, O, Hauser, RS, Hauser, M 2000Adjustable laparoscopic gastric banding in patients with morbid obesity: radiographic management, results, and postoperative complications.Radiology216389394PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • M. Korenkov
    • 1
  • S. Sauerland
    • 1
  • N. Yücel
    • 1
  • L. Köhler
    • 2
  • P. Goh
    • 1
  • J. Schierholz
    • 3
  • H. Troidl
    • 1
  1. 1.Surgical Clinic, 2nd Department of SurgeryUniversity of CologneGermany
  2. 2.Surgical ClinicHospital GrevenbroichGermany
  3. 3.Research Center, Caesar, BonnGermany

Personalised recommendations