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Erschienen in:
01.07.2005 | Original article
Migration of adjustable gastric banding from a cohort study of 4236 patients
Erschienen in: Surgical Endoscopy | Ausgabe 7/2005
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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.