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The Reporting of Gastric Band Slip and Related Complications; A Review of the Literature

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Abstract

Laparoscopic adjustable gastric banding is a safe and effective treatment for morbid obesity. Long-term complications include band slippage, gastric pouch dilatation and gastric erosion. Rates of band slippage reported in the literature range from less than 1% to over 20%. The aim of this review was to explore whether differences in the reporting of this complication contributed to the variability in this outcome measure. A full literature search was undertaken using EMBASE and MEDLINE search engines. Forty studies were selected for analysis based on inclusion and exclusion criteria. Each was scrutinised for outcome reporting methods and related fields. Accurate definitions for relevant terms were derived from the best available evidence. Considerable variations in device deployed, operative approach, band fixation technique, and outcome reporting mechanisms were seen between the studies. The explanation and definition of terms used within manuscripts were also seen to vary between studies. A consensus needs to be reached on how best to report complications such as gastric band slippage. We suggest which information should be included by authors to allow for accurate and reproducible reporting of such outcomes in the future.

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Abbreviations

LAGB:

Laparoscopic adjustable gastric banding

PF:

Pars flaccida

PG:

Peri-gastric

SAGB:

Swedish adjustable gastric band (Obtech/Ethicon Endo-Surgery Switzerland)

SPD:

Symmetrical pouch dilatation

References

  1. Moser F, Gorodner MV, Galvani CA, et al. Pouch enlargement and band slippage: two different entities. Surg Endosc. 2006;20:1021–9.

    Article  PubMed  CAS  Google Scholar 

  2. Lee WJ, Wang W, Yu PJ, et al. Gastrointestinal quality of life following laparoscopic adjustable gastric banding in Asia. Obes Surg. 2006;16:586–91.

    Article  PubMed  Google Scholar 

  3. Martin LF, Smits GJ, Greenstein RJ. Treating morbid obesity with laparoscopic adjustable gastric banding. Am J Surg. 2007;194:333–43.

    Article  PubMed  Google Scholar 

  4. Belachew M, Legrand M, Vincente V, et al. Laparoscopic placement of adjustable silicon gastric band in the treatment of morbid obesity: how to do it. Obes Surg. 1995;5:66–70.

    Article  PubMed  Google Scholar 

  5. Forsell P, Hallberg D, Hellers G. A gastric band with adjustable inner diameter for obesity surgery. Obes Surg. 1993;3:303–6.

    Article  PubMed  Google Scholar 

  6. O’Brien P, Dixon J, Laurie C, et al. A prospective randomised trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15:820–6.

    Article  PubMed  Google Scholar 

  7. Sherwinter DA, Powers CJ, Geiss AC, et al. Posterior prolapse: an important entity even in the modern age of the pars flaccida approach to lap-band placement. Obes Surg. 2006;16:1312–7.

    Article  PubMed  Google Scholar 

  8. Weisner W, Weber M, Hauser RS, et al. Anterior versus posterior slippage: two different types of eccentric pouch dilatation in patients with adjustable laparoscopic gastric banding. Dig Surg. 2001;18:182–7.

    Article  Google Scholar 

  9. Parikh MS, Fielding GA, Ren CJ. U.S. experience with 749 laparoscopic adjustable gastric bands. Intermediate outcomes. Surg Endosc. 2005;19:1631–5.

    Article  PubMed  CAS  Google Scholar 

  10. Thornton CM, Rozen WM, So D, et al. Reducing band slippage in laparoscopic adjustable gastric banding: the mesh plication pars flaccida technique. Obes Surg. 2009;19:1702–6.

    Article  PubMed  Google Scholar 

  11. Singhal R, Kitchen M, Ndrika S, et al. The “Birmingham stitch”—avoiding slippage in laparoscopic gastric banding. Obes Surg. 2008;18:359–63.

    Article  PubMed  Google Scholar 

  12. Boschi S, Fogli L, Berta RD, et al. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16:1166–70.

    Article  PubMed  Google Scholar 

  13. Frering V, Fontaumard E. Does stitching the band increase slippage? Surg Obes Rel Dis. 2008;4:294.

    Article  Google Scholar 

  14. Mizrahi S, Avinoah E. Technical tips for laparoscopic gastric banding: 6 years’ experience in 2800 procedures by a single surgical team. Am J Surg. 2007;193:160–5.

    Article  PubMed  Google Scholar 

  15. Ramos A, Nero MG, Galvao M, et al. Stitchless technique with Swedish adjustable gastric band. Surg Obes Rel Dis. 2007;3:319.

    Article  Google Scholar 

  16. Neaf M, Mouton WG, Naef U, Kummer O, Muggli B, Wagner HE. Graft survival and complications after laparoscopic gastric banding for morbid obesity—lessons learned from a 12-year experience. Obes Surg. 2010;20:1206–14. doi:10.1007/s11695-010-0205-0.

    Article  Google Scholar 

  17. Spivak H, Favretti F. Avoiding post-operative complications with the LAP-BAND system. Am J Surg. 2002;184:31S–7.

    Article  PubMed  Google Scholar 

  18. Gulkarov I, Wefferan M, Ren CJ, et al. Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22:1035–41.

    Article  PubMed  Google Scholar 

  19. Keidar A, Szold A, Carmon E, et al. Band slippage after laparoscopic adjustable gastric banding. Etiology and treatment. Surg Endosc. 2005;19:262–7.

    Article  PubMed  CAS  Google Scholar 

  20. Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13:116–20.

    Article  PubMed  Google Scholar 

  21. Brown WA, Burton PR. Symmetrical pouch dilatation after LAGB; incidence and management. Obes Surg. 2008;18:1104–8.

    Article  PubMed  Google Scholar 

  22. Busetto L, Segato G, De Luca M, et al. Weight loss and postoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding. Obes Surg. 2005;15:195–201.

    Article  PubMed  Google Scholar 

  23. Dargent J. Esophageal dilatation after LAGB: definition and strategy. Obes Surg. 2005;15:843–8.

    Article  PubMed  Google Scholar 

  24. Schouten R, van Dielen FM, Grieve J. Reoperations after laparoscopic adjustable gastric banding leads to a further decrease in BMI and obesity related co-morbidities: results in 33 patients. Obes Surg. 2006;16:821–8.

    Article  PubMed  CAS  Google Scholar 

  25. Weiner R, Blanco-Engert R, Weiner S, et al. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg. 2003;13:427–34.

    Article  PubMed  CAS  Google Scholar 

  26. Miller K, Hell E. Laparoscopic adjustable gastric banding; a prospective 4-year follow-up study. Obes Surg. 1999;9:183–7.

    Article  PubMed  CAS  Google Scholar 

  27. DeMaria EJ, Sugarman HJ, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001;233:809–18.

    Article  PubMed  CAS  Google Scholar 

  28. Steffen R, Biertho L, Ricklin T, et al. Laparoscopic Swedish adjustable gastric banding: a five-year prospective study. Obes Surg. 2003;13:404–11.

    Article  PubMed  Google Scholar 

  29. Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2003;16:829–35.

    Article  Google Scholar 

  30. Ponce J, Fromm R, et al. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilatation. Surg Obes Rel Dis. 2006;2:627–31.

    Article  Google Scholar 

  31. Angrisani L, Favretti F, Furbetta F, et al. Italian group for lap-band system: results of multicentre study on patients with BMI ≤35 kg/m2. Obes Surg. 2004;14:415–8.

    Article  PubMed  CAS  Google Scholar 

  32. Balsinger BM, Ernst D, Giachino D, et al. Prospective evaluation and 7-year follow-up of Swedish adjustable gastric banding in adults with extreme obesity. J Gastrointest Surg. 2007;11:1470–7.

    Article  Google Scholar 

  33. Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? Surg Endosc. 2009;23:334–40.

    Article  PubMed  Google Scholar 

  34. Biagini J, Karam L. Ten years experience with laparoscopic adjustable gastric banding. Obes Surg. 2008;18:573–7.

    Article  PubMed  Google Scholar 

  35. Blanc PM, Lagoutte JM, Picot MC, et al. Preliminary results of the new laparoscopic adjustable gastric banding procedure by a new generation of silicone band: MIDBAND. Obes Surg. 2008;18:569–72.

    Article  PubMed  CAS  Google Scholar 

  36. Chevallier J, Zinzindohoué F, Douard R, et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1, 000 patients over 7 years. Obes Surg. 2004;14:407–14.

    Article  PubMed  Google Scholar 

  37. Christou N, Efthimiou E. Five-year outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in a comprehensive bariatric surgery program in Canada. Can J Surg. 2009;52:249–58.

    Google Scholar 

  38. Collet D, Rault A, Sa Cunha A, et al. Laparoscopic adjustable gastric banding results after 2 years with two different band types. Obes Surg. 2005;15:853–7.

    Article  PubMed  CAS  Google Scholar 

  39. Dargent J. Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure—a 9-year series. Obes Surg. 2004;14:989–90.

    Article  Google Scholar 

  40. Di Lorenzo N, Furbetta F, Favretti F, et al. Laparoscopic adjustable gastric banding via pars flaccida versus perigastric positioning: technique, complications, and results in 2, 549 patients. Surg Endosc. 2010;24:1519–23.

    Article  PubMed  Google Scholar 

  41. Lanthaler M, Aigner F, Kinzl J, et al. Long-term results and complications following adjustable gastric banding. Obes Surg. 2010;20:1078–85.

    Article  PubMed  Google Scholar 

  42. Martikainen T, Pirinen E, Alhave E, et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004;14:648–54.

    Article  PubMed  Google Scholar 

  43. Mittermair R, Aigner F, Obermüller R. High complication rate after Swedish adjustable gastric banding in younger patients ≤25 years. Obes Surg. 2009;19:446–50.

    Article  PubMed  Google Scholar 

  44. Nowara HA. Egyptian experience in laparoscopic adjustable gastric banding (technique, complications and intermediate results). Obes Surg. 2001;11:70–5.

    Article  PubMed  CAS  Google Scholar 

  45. Sarker S, Herold K, Creech S, et al. Early and late complications following laparoscopic adjustable gastric banding. American Surg. 2004;70:146–50.

    Google Scholar 

  46. Srikanth MS, Oh KH, Keskey T, et al. Critical extreme anterior slippage (Paragastric Richter's hernia) of the stomach after laparoscopic adjustable gastric banding: early recognition and prevention of gastric strangulation. Obes Surg. 2005;15:207–15.

    Article  PubMed  Google Scholar 

  47. Tolonen P, Victorzon M, Makela J. 11-year experience with laparoscopic adjustable gastric banding for morbid obesity—what happened to the first 123 patients? Obes Surg. 2008;18:251–5.

    Article  PubMed  Google Scholar 

  48. Watkins B, Montgomery KF, Ahroni JH. Laparoscopic adjustable gastric banding: early experience in 400 consecutive patients in the USA. Obes Surg. 2005;15:82–7.

    Article  PubMed  Google Scholar 

  49. Wölnerhanssen B, Kern B, Peters T, et al. Reduction in slippage with 11-cm lap-band and change of gastric banding technique. Obes Surg. 2005;15:1050–4.

    Article  PubMed  Google Scholar 

  50. Zehetner J, Holzinger F, Triaca H, et al. A 6-year experience with the Swedish adjustable gastric band. Prospective long-term audit of laparoscopic gastric banding. Surg Endosc. 2005;19:21–8.

    Article  PubMed  CAS  Google Scholar 

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Conflicts of Interest

The authors declare no conflict of interest in relation to this manuscript.

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Authors and Affiliations

  1. Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UK

    Richard John Egan, Hayley E. Meredith, Sharon E. Bates, Justin D. T. Morgan & Sally A. Norton

  2. Department of Upper GI Surgery, Gloucestershire Royal Hospital, Gloucester, UK

    Simon J. W. Monkhouse

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  1. Richard John Egan
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  2. Simon J. W. Monkhouse
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  3. Hayley E. Meredith
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  4. Sharon E. Bates
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Correspondence to Sally A. Norton.

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Egan, R.J., Monkhouse, S.J.W., Meredith, H.E. et al. The Reporting of Gastric Band Slip and Related Complications; A Review of the Literature. OBES SURG 21, 1280–1288 (2011). https://doi.org/10.1007/s11695-010-0344-3

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