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LAGB: Complications–Diagnosis and Management

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Obesity, Bariatric and Metabolic Surgery

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Abstract

Gastric Band Complications are relatively common but rarely serious in nature. Complications can be classified as general or specific to band surgery. General complications are rare and gastric band surgery remains one of the safest forms of weight loss surgery available.

Over the lifetime of a band, approximately 10 % of patients should expect to have their surgery revised. Problems that develop over the long term include pouch dilatation, band slippage, erosion and port related problems. A reduced risk and appropriate management of complications is dependant on good long-term follow-up. Major complications occur a median of 33 months after band surgery and outside most bariatric centres’ regular follow-up programmes.

Gastric band patients can rarely present acutely with complete obstruction that requires immediate attention to avoid potentially life-threatening sequelae.

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References

  1. O’Brien PE, MacDonald L, Anderson M, Brennan L, Brown WA. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94.

    Article  PubMed  Google Scholar 

  2. Thomas H, Agrawal S. Systemic review of same-day laparoscopic adjustable gastric band surgery. Obes Surg. 2011;21(6):805–10.

    Article  PubMed  Google Scholar 

  3. Carelli AM, Toun HA, Kurian MS, Ren CJ, Fielding GA. Safety of the laparoscopic gastric band: 7-year data from a U.S. center of excellence. Surg Endosc. 2010;24(8):1819–23.

    Article  PubMed  Google Scholar 

  4. Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2013;18:3654.

    Google Scholar 

  5. The National Bariatric Surgery Registry. First registry report to March 2010. Dendrite Clinical Systems Ltd, Henley-on-Thames, UK. 2010.

    Google Scholar 

  6. The National Bariatric Surgery Registry. Second registry report 2013. Dendrite Clinical Systems Ltd, Henley-on-Thames, UK. 2014.

    Google Scholar 

  7. DeMaria EJ, Portenier D, Wolfe L. Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surg Obes Relat Dis. 2007;3(2):134–40.

    Article  PubMed  Google Scholar 

  8. Ren CJ, Fielding GA. Laparoscopic adjustable gastric banding: surgical technique. J Laparoendosc Adv Surg Tech A. 2003;13(4):257–63.

    Article  PubMed  Google Scholar 

  9. Soto FC, Szomstein S, Higa-Sansone G, Mehran A, Blandon RJ, Zundel N, Rosenthal RJ. Esophageal perforation during laparoscopic gastric band placement. Obes Surg. 2004;14(3):422–5.

    Article  PubMed  Google Scholar 

  10. Heath D, McDougall K, Jones L, Pratik S. A survey on the use of prophylaxis against venous thromboembolic disease and peptic ulceration amongst members of the British Obesity and Metabolic Surgery Society (BOMSS). Paper presented at: IFSO XV World Congress in Long Beach, Los Angeles, California. 2010.

    Google Scholar 

  11. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  12. Himpens J, Cadiere GB, Bazi M, Vouche M, Cadiere B, Dapri G. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802–7.

    Article  PubMed  Google Scholar 

  13. Lilly MP, Slafsky SF, Thompson WR. Intraluminal erosion and migration of the Angelchik antireflux prosthesis. Arch Surg. 1984;119(7):849–53.

    Article  CAS  PubMed  Google Scholar 

  14. Favretti F, Enzi G, Pizzirani E, Segato G, Belluco C, Pigato P, Busetto L, De Marchi F, Lise M. Adjustable silicone gastric banding (ASGB): the Italian experience. Obes Surg. 1993;3(1):53–6.

    Article  PubMed  Google Scholar 

  15. Brown WA, Egberts KJ, Franke-Richard D, Thodiyil P, Anderson ML, O’Brien PE. Erosions after laparoscopic adjustable gastric banding: diagnosis and management. Ann Surg. 2013;257(6):1047–52.

    Article  PubMed  Google Scholar 

  16. Kohn GP, Hansen CA, Gilhome RW, McHenry RC, Spilias DC, Hensman C. Laparoscopic management of gastric band erosions: a 10-year series of 49 cases. Surg Endosc. 2012;26(2):541–5.

    Article  PubMed  Google Scholar 

  17. Di Lorenzo N, Lorenzo M, Furbetta F, Favretti F, Giardello C, Boschi S, Alfredo G, Micheletto G, Borelli V, Veneziani A, Lucchese M, Boni M, Civitelli S, Camperchioli I, Pilone V, De Luca M, De Meis P, Cipriano M, Paganelli M, Mancuso V, Gardinazzi A, Schettino A, Maselli R, Forestieri P. Intragastric gastric band migration: erosion: an analysis of multicenter experience on 177 patients. Surg Endosc. 2013;27(4):1151–7.

    Article  PubMed  Google Scholar 

  18. Salar O, Waraich N, Singh R, Awan A. Gastric band erosion, infection and migration causing jejunal obstruction. BMJ Case Rep. 2013;2013. Pii:bcr2012007737.

    Google Scholar 

  19. Rogalski P, Hady HR, Baniukiewicz A, Dabrowski A, Kaminski F, Dadan J. Gastric band migration following laparoscopic adjustable gastric banding (LAGB): two cases of endoscopic management using a gastric band cutter. Wideochir Inne Tech Malo Inwazyjne. 2012;7(2):114–7.

    PubMed Central  PubMed  Google Scholar 

  20. Cherian PT, Goussous G, Ashori F, Sigurdsson A. Band erosion after laparoscopic gastric banding: a retrospective analysis of 865 patients over 5 years. Surg Endosc. 2010;24(8):2031–8.

    Article  CAS  PubMed  Google Scholar 

  21. Brown WA, Burton PR, Anderson M, Korin A, Dixon JB, Hebbard G, O’Brien PE. Symmetrical pouch dilatation after laparoscopic adjustable gastric banding: incidence and management. Obes Surg. 2008;18(9):1104–8.

    Article  PubMed  Google Scholar 

  22. Pieroni S, Sommer EA, Hito R, Burch M, Tkacz JN. The “O” sign, a simple and helpful tool in the diagnosis of laparoscopic adjustable gastric band slippage. AJR Am J Roentgenol. 2010;195(1):137–41.

    Article  PubMed  Google Scholar 

  23. Boschi S, Fogli L, Berta RD, Patrizi P, Di Domenico M, Vetere F, Capizzi D, Capizzi FD. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16(9):1166–70.

    Article  PubMed  Google Scholar 

  24. Azagury DE, Varban O, Tavakkolizadeh A, Robinson MK, Vernon AH, Lautz DB. Does laparoscopic gastric banding create hiatal hernias? Surg Obes Relat Dis. 2013;9(1):48–52.

    Article  PubMed  Google Scholar 

  25. Gulkarov I, Wetterau M, Ren CJ, Fielding GA. Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22(4):1035–41.

    Article  PubMed  Google Scholar 

  26. Naef M, Mouton WG, Naef U, van der Weg B, Maddern GJ, Wagner HE. Esophageal dysmotility disorders after laparoscopic gastric banding—an underestimated complication. Ann Surg. 2011;253(2):285–90.

    Article  PubMed  Google Scholar 

  27. Kampe J, Stefanidis A, Lockie SH, Brown WA, Dixon JB, Odoi A, Spencer SJ, Raven J, Oldfield BJ. Neural and humoral changes associated with the adjustable gastric band: insights from a rodent model. Int J Obes (Lond). 2012;36(11):1403–11.

    Article  CAS  Google Scholar 

  28. Dargent J. Isolated food intolerance after adjustable gastric banding: a major cause of long-term band removal. Obes Surg. 2008;18(7):829–32.

    Article  PubMed  Google Scholar 

  29. Tog CH, Halliday J, Khor Y, Yong T, Wilkinson S. Evolving pattern of laparoscopic gastric band access port complications. Obes Surg. 2012;22(6):863–5.

    Article  PubMed  Google Scholar 

  30. Boza C, Gamboa C, Perez G, Crovari F, Escalona A, Pimentel F, Raddatz A, Guzman S, Ibanez L. Laparoscopic adjustable gastric banding (LAGB): surgical results and 5-year follow-up. Surg Endosc. 2011;25(1):292–7.

    Article  PubMed  Google Scholar 

  31. Chevallier JM, Paita M, Rodde-Dunet MH, Marty M, Nogues F, Slim K, Basdevant A. Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients’ behavior. Ann Surg. 2007;246(6):1034–9.

    Article  PubMed  Google Scholar 

  32. O’Brien PE, Dixon JB, Laurie C, Anderson M. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15(6):820–6.

    Article  PubMed  Google Scholar 

  33. Singhal R, Kitchen M, Ndirika S, Hunt K, Bridgwater S, Super P. The “Birmingham stitch”—avoiding slippage in laparoscopic gastric banding. Obes Surg. 2008;18(4):359–63.

    Article  PubMed  Google Scholar 

  34. Randhawa S, Ghai P, Bhoyrul S. Port fixation during gastric banding: 4-year outcome using a synthetic mesh. Surg Obes Relat Dis. 2013;9(2):296–9.

    Article  PubMed  Google Scholar 

  35. Weichman K, Ren C, Kurian M, Heekoung AY, Casciano R, Stern L, Fielding G. The effectiveness of adjustable gastric banding: a retrospective 6-year U.S. follow-up study. Surg Endosc. 2011;25(2):397–403.

    Article  PubMed  Google Scholar 

  36. Ponce J, et al. Clinical algorithms for identifying and managing complications of laparoscopic adjustable gastric banding. Bariatric Times. 2013;10(11):14–9.

    Google Scholar 

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Authors and Affiliations

  1. Department of Upper GI and Bariatric Surgery, East Midlands Bariatric and Metabolic Institute, Royal Derby Hospital, Derby, UK

    Paul Constantine Leeder MB ChB, MD, FRCS

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  1. Paul Constantine Leeder MB ChB, MD, FRCS
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Correspondence to Paul Constantine Leeder MB ChB, MD, FRCS .

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Editors and Affiliations

  1. Homerton University Hospital, London, United Kingdom

    Sanjay Agrawal

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Leeder, P.C. (2016). LAGB: Complications–Diagnosis and Management. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-04343-2_31

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  • DOI: https://doi.org/10.1007/978-3-319-04343-2_31

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04342-5

  • Online ISBN: 978-3-319-04343-2

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