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The Long-Term Effects of the Adjustable Gastric Band on Esophageal Motility in Patients Who Present for Band Removal

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Abstract

Background

During the past decade, laparoscopic adjustable gastric banding (LAGB) was one of the most popular surgical procedures in treating morbid obesity. Long-term effects, specifically on esophageal motility, of LAGB have not been well described in the literature despite the high prevalence of reoperations and post-operative dysphagia. We aimed to characterize esophageal dysmotility after long-term follow-up using data of high-resolution esophageal manometry (HRM) performed in patients who presented for LAGB removal. The research was conducted in Academic Hospital Center in the USA.

Methods

Research was conducted with approval from the institution’s Institutional Review Board. We included 25 consecutive patients who were requesting removal of the band or revisional bariatric surgery. All patients underwent HRM between 2011 and 2015.

Results

A Fisher’s exact test two-sided p value 0.41 shows no statistically significant difference in proportions of normal motility or impaired motility between asymptomatic and symptomatic patients.

Conclusions

Patients with a history of LABG can have esophageal dysmotility whether they are symptomatic or asymptomatic. Based on existing literature, we recommend pre-operative manometry in these patients requesting revisional surgery.

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Authors and Affiliations

  1. Department of Surgery, Mount Sinai Medical Center, 1 Gustave L. Levy Place, Box 1259, New York, NY, 10029, USA

    Loic Tchokouani, Anusha Jayaram, Gustavo Fernandez Ranvier, Gina Sam & Subhash Kini

  2. Prince Mohammed Bin Abdulaziz Hospital, Al Imam Ahmad Ibn Hanbal, Riyadh, 14214, Saudi Arabia

    Naif Alenazi

Authors
  1. Loic Tchokouani
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  2. Anusha Jayaram
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  3. Naif Alenazi
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  4. Gustavo Fernandez Ranvier
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  5. Gina Sam
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Correspondence to Subhash Kini.

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The authors declare that they have no conflict of interest.

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For this type of study, formal consent is not required as this was a retrospective study.

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The article does not contain any studies with animal participants performed by any authors.

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Tchokouani, L., Jayaram, A., Alenazi, N. et al. The Long-Term Effects of the Adjustable Gastric Band on Esophageal Motility in Patients Who Present for Band Removal. OBES SURG 28, 333–337 (2018). https://doi.org/10.1007/s11695-017-2842-z

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  • DOI: https://doi.org/10.1007/s11695-017-2842-z

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