Document Detail


Initial experience with laparoscopic adjustable gastric banding and pouch dilatation: two cases.
MedLine Citation:
PMID:  11357837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Late proximal pouch dilatation (LPPD) has occurred occasionally following gastric banding for morbid obesity. At present, laparoscopic conservative resetting and oversuturing of the band is considered the standard procedure for pouch dilatation without any important posterior component. METHODS: Two cases of LPPD are presented, which occurred in our initial experience with the Lap-Band, corrected via a laparoscopic approach. RESULTS: The reintervention was necessary in both patients, with conservative laparoscopic repositioning and oversuturing of the band in the first case and laparoscopic substitution of the gastric band in the second. We have not observed further complications, and weight loss has been maintained in a midterm outcome in both cases (30 and 18 months follow-up). CONCLUSIONS: LPPD can be corrected with a conservative laparoscopic surgical approach, without complications and negative functional effects on mid-term outcome.
Authors:
A Neri; F Mariani; M Testa; A Piccolomini; G Vuolo; A Guarnieri; A F Carli; L Di Cosmo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  11     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-05-16     Completed Date:  2001-09-13     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  229-31     Citation Subset:  IM    
Affiliation:
Centro di Studio Interdisciplinare per il Trattamento della Grande Obesità, Surgical Sciences Institute, University of Siena, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Dilatation, Pathologic
Female
Gastroplasty / adverse effects*,  methods
Humans
Laparoscopy
Male
Middle Aged
Reoperation
Stomach / pathology
Suture Techniques

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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