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Migration of adjustable gastric banding from a cohort study of 4236 patients

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Abstract

Background

Experience was gained management of intra-gastric migration of adjustable gastric banding.

Methods

From July 1996 to January 2003, 4236 patients who underwent laparoscopic adjustable gastric banding were proposed for routine follow-up. Gastrograms were performed in case of band adjustment. Radiological controls and endoscopy were performed according to symptoms.

Results

A total of 45 cases of band migration (1.6%) were diagnosed during follow-up. All but one of the migrated bands were removed laparoscopically either by a dissection outside the stomach or through a short gastrotomy. Mortality was 0% and morbidity 8% (n = 4).

Conclusion

The risk of an intragastric band migration remains low in the literature but could grow on account of the longer follow-up of patients. The retrieval of the band is the gold standard and must be planned promptly or delayed according to symptoms.

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Nocca, D., Frering, V., Gallix, B. et al. Migration of adjustable gastric banding from a cohort study of 4236 patients. Surg Endosc 19, 947–950 (2005). https://doi.org/10.1007/s00464-004-2183-6

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  • DOI: https://doi.org/10.1007/s00464-004-2183-6

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