Skip to main content
Erschienen in: Obesity Surgery 8/2011

01.08.2011 | Review

The Reporting of Gastric Band Slip and Related Complications; A Review of the Literature

verfasst von: Richard John Egan, Simon J. W. Monkhouse, Hayley E. Meredith, Sharon E. Bates, Justin D. T. Morgan, Sally A. Norton

Erschienen in: Obesity Surgery | Ausgabe 8/2011

Einloggen, um Zugang zu erhalten

Abstract

Laparoscopic adjustable gastric banding is a safe and effective treatment for morbid obesity. Long-term complications include band slippage, gastric pouch dilatation and gastric erosion. Rates of band slippage reported in the literature range from less than 1% to over 20%. The aim of this review was to explore whether differences in the reporting of this complication contributed to the variability in this outcome measure. A full literature search was undertaken using EMBASE and MEDLINE search engines. Forty studies were selected for analysis based on inclusion and exclusion criteria. Each was scrutinised for outcome reporting methods and related fields. Accurate definitions for relevant terms were derived from the best available evidence. Considerable variations in device deployed, operative approach, band fixation technique, and outcome reporting mechanisms were seen between the studies. The explanation and definition of terms used within manuscripts were also seen to vary between studies. A consensus needs to be reached on how best to report complications such as gastric band slippage. We suggest which information should be included by authors to allow for accurate and reproducible reporting of such outcomes in the future.
Literatur
1.
Zurück zum Zitat Moser F, Gorodner MV, Galvani CA, et al. Pouch enlargement and band slippage: two different entities. Surg Endosc. 2006;20:1021–9.PubMedCrossRef Moser F, Gorodner MV, Galvani CA, et al. Pouch enlargement and band slippage: two different entities. Surg Endosc. 2006;20:1021–9.PubMedCrossRef
2.
Zurück zum Zitat Lee WJ, Wang W, Yu PJ, et al. Gastrointestinal quality of life following laparoscopic adjustable gastric banding in Asia. Obes Surg. 2006;16:586–91.PubMedCrossRef Lee WJ, Wang W, Yu PJ, et al. Gastrointestinal quality of life following laparoscopic adjustable gastric banding in Asia. Obes Surg. 2006;16:586–91.PubMedCrossRef
3.
Zurück zum Zitat Martin LF, Smits GJ, Greenstein RJ. Treating morbid obesity with laparoscopic adjustable gastric banding. Am J Surg. 2007;194:333–43.PubMedCrossRef Martin LF, Smits GJ, Greenstein RJ. Treating morbid obesity with laparoscopic adjustable gastric banding. Am J Surg. 2007;194:333–43.PubMedCrossRef
4.
Zurück zum Zitat Belachew M, Legrand M, Vincente V, et al. Laparoscopic placement of adjustable silicon gastric band in the treatment of morbid obesity: how to do it. Obes Surg. 1995;5:66–70.PubMedCrossRef Belachew M, Legrand M, Vincente V, et al. Laparoscopic placement of adjustable silicon gastric band in the treatment of morbid obesity: how to do it. Obes Surg. 1995;5:66–70.PubMedCrossRef
5.
Zurück zum Zitat Forsell P, Hallberg D, Hellers G. A gastric band with adjustable inner diameter for obesity surgery. Obes Surg. 1993;3:303–6.PubMedCrossRef Forsell P, Hallberg D, Hellers G. A gastric band with adjustable inner diameter for obesity surgery. Obes Surg. 1993;3:303–6.PubMedCrossRef
6.
Zurück zum Zitat O’Brien P, Dixon J, Laurie C, et al. A prospective randomised trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15:820–6.PubMedCrossRef O’Brien P, Dixon J, Laurie C, et al. A prospective randomised trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15:820–6.PubMedCrossRef
7.
Zurück zum Zitat Sherwinter DA, Powers CJ, Geiss AC, et al. Posterior prolapse: an important entity even in the modern age of the pars flaccida approach to lap-band placement. Obes Surg. 2006;16:1312–7.PubMedCrossRef Sherwinter DA, Powers CJ, Geiss AC, et al. Posterior prolapse: an important entity even in the modern age of the pars flaccida approach to lap-band placement. Obes Surg. 2006;16:1312–7.PubMedCrossRef
8.
Zurück zum Zitat Weisner W, Weber M, Hauser RS, et al. Anterior versus posterior slippage: two different types of eccentric pouch dilatation in patients with adjustable laparoscopic gastric banding. Dig Surg. 2001;18:182–7.CrossRef Weisner W, Weber M, Hauser RS, et al. Anterior versus posterior slippage: two different types of eccentric pouch dilatation in patients with adjustable laparoscopic gastric banding. Dig Surg. 2001;18:182–7.CrossRef
9.
Zurück zum Zitat Parikh MS, Fielding GA, Ren CJ. U.S. experience with 749 laparoscopic adjustable gastric bands. Intermediate outcomes. Surg Endosc. 2005;19:1631–5.PubMedCrossRef Parikh MS, Fielding GA, Ren CJ. U.S. experience with 749 laparoscopic adjustable gastric bands. Intermediate outcomes. Surg Endosc. 2005;19:1631–5.PubMedCrossRef
10.
Zurück zum Zitat Thornton CM, Rozen WM, So D, et al. Reducing band slippage in laparoscopic adjustable gastric banding: the mesh plication pars flaccida technique. Obes Surg. 2009;19:1702–6.PubMedCrossRef Thornton CM, Rozen WM, So D, et al. Reducing band slippage in laparoscopic adjustable gastric banding: the mesh plication pars flaccida technique. Obes Surg. 2009;19:1702–6.PubMedCrossRef
11.
Zurück zum Zitat Singhal R, Kitchen M, Ndrika S, et al. The “Birmingham stitch”—avoiding slippage in laparoscopic gastric banding. Obes Surg. 2008;18:359–63.PubMedCrossRef Singhal R, Kitchen M, Ndrika S, et al. The “Birmingham stitch”—avoiding slippage in laparoscopic gastric banding. Obes Surg. 2008;18:359–63.PubMedCrossRef
12.
Zurück zum Zitat Boschi S, Fogli L, Berta RD, et al. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16:1166–70.PubMedCrossRef Boschi S, Fogli L, Berta RD, et al. Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg. 2006;16:1166–70.PubMedCrossRef
13.
Zurück zum Zitat Frering V, Fontaumard E. Does stitching the band increase slippage? Surg Obes Rel Dis. 2008;4:294.CrossRef Frering V, Fontaumard E. Does stitching the band increase slippage? Surg Obes Rel Dis. 2008;4:294.CrossRef
14.
Zurück zum Zitat Mizrahi S, Avinoah E. Technical tips for laparoscopic gastric banding: 6 years’ experience in 2800 procedures by a single surgical team. Am J Surg. 2007;193:160–5.PubMedCrossRef Mizrahi S, Avinoah E. Technical tips for laparoscopic gastric banding: 6 years’ experience in 2800 procedures by a single surgical team. Am J Surg. 2007;193:160–5.PubMedCrossRef
15.
Zurück zum Zitat Ramos A, Nero MG, Galvao M, et al. Stitchless technique with Swedish adjustable gastric band. Surg Obes Rel Dis. 2007;3:319.CrossRef Ramos A, Nero MG, Galvao M, et al. Stitchless technique with Swedish adjustable gastric band. Surg Obes Rel Dis. 2007;3:319.CrossRef
16.
Zurück zum Zitat Neaf M, Mouton WG, Naef U, Kummer O, Muggli B, Wagner HE. Graft survival and complications after laparoscopic gastric banding for morbid obesity—lessons learned from a 12-year experience. Obes Surg. 2010;20:1206–14. doi:10.1007/s11695-010-0205-0.CrossRef Neaf M, Mouton WG, Naef U, Kummer O, Muggli B, Wagner HE. Graft survival and complications after laparoscopic gastric banding for morbid obesity—lessons learned from a 12-year experience. Obes Surg. 2010;20:1206–14. doi:10.​1007/​s11695-010-0205-0.CrossRef
17.
Zurück zum Zitat Spivak H, Favretti F. Avoiding post-operative complications with the LAP-BAND system. Am J Surg. 2002;184:31S–7.PubMedCrossRef Spivak H, Favretti F. Avoiding post-operative complications with the LAP-BAND system. Am J Surg. 2002;184:31S–7.PubMedCrossRef
18.
Zurück zum Zitat Gulkarov I, Wefferan M, Ren CJ, et al. Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22:1035–41.PubMedCrossRef Gulkarov I, Wefferan M, Ren CJ, et al. Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22:1035–41.PubMedCrossRef
19.
Zurück zum Zitat Keidar A, Szold A, Carmon E, et al. Band slippage after laparoscopic adjustable gastric banding. Etiology and treatment. Surg Endosc. 2005;19:262–7.PubMedCrossRef Keidar A, Szold A, Carmon E, et al. Band slippage after laparoscopic adjustable gastric banding. Etiology and treatment. Surg Endosc. 2005;19:262–7.PubMedCrossRef
20.
Zurück zum Zitat Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13:116–20.PubMedCrossRef Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13:116–20.PubMedCrossRef
21.
Zurück zum Zitat Brown WA, Burton PR. Symmetrical pouch dilatation after LAGB; incidence and management. Obes Surg. 2008;18:1104–8.PubMedCrossRef Brown WA, Burton PR. Symmetrical pouch dilatation after LAGB; incidence and management. Obes Surg. 2008;18:1104–8.PubMedCrossRef
22.
Zurück zum Zitat Busetto L, Segato G, De Luca M, et al. Weight loss and postoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding. Obes Surg. 2005;15:195–201.PubMedCrossRef Busetto L, Segato G, De Luca M, et al. Weight loss and postoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding. Obes Surg. 2005;15:195–201.PubMedCrossRef
23.
Zurück zum Zitat Dargent J. Esophageal dilatation after LAGB: definition and strategy. Obes Surg. 2005;15:843–8.PubMedCrossRef Dargent J. Esophageal dilatation after LAGB: definition and strategy. Obes Surg. 2005;15:843–8.PubMedCrossRef
24.
Zurück zum Zitat Schouten R, van Dielen FM, Grieve J. Reoperations after laparoscopic adjustable gastric banding leads to a further decrease in BMI and obesity related co-morbidities: results in 33 patients. Obes Surg. 2006;16:821–8.PubMedCrossRef Schouten R, van Dielen FM, Grieve J. Reoperations after laparoscopic adjustable gastric banding leads to a further decrease in BMI and obesity related co-morbidities: results in 33 patients. Obes Surg. 2006;16:821–8.PubMedCrossRef
25.
Zurück zum Zitat Weiner R, Blanco-Engert R, Weiner S, et al. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg. 2003;13:427–34.PubMedCrossRef Weiner R, Blanco-Engert R, Weiner S, et al. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg. 2003;13:427–34.PubMedCrossRef
26.
Zurück zum Zitat Miller K, Hell E. Laparoscopic adjustable gastric banding; a prospective 4-year follow-up study. Obes Surg. 1999;9:183–7.PubMedCrossRef Miller K, Hell E. Laparoscopic adjustable gastric banding; a prospective 4-year follow-up study. Obes Surg. 1999;9:183–7.PubMedCrossRef
27.
Zurück zum Zitat DeMaria EJ, Sugarman HJ, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001;233:809–18.PubMedCrossRef DeMaria EJ, Sugarman HJ, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001;233:809–18.PubMedCrossRef
28.
Zurück zum Zitat Steffen R, Biertho L, Ricklin T, et al. Laparoscopic Swedish adjustable gastric banding: a five-year prospective study. Obes Surg. 2003;13:404–11.PubMedCrossRef Steffen R, Biertho L, Ricklin T, et al. Laparoscopic Swedish adjustable gastric banding: a five-year prospective study. Obes Surg. 2003;13:404–11.PubMedCrossRef
29.
Zurück zum Zitat Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2003;16:829–35.CrossRef Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2003;16:829–35.CrossRef
30.
Zurück zum Zitat Ponce J, Fromm R, et al. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilatation. Surg Obes Rel Dis. 2006;2:627–31.CrossRef Ponce J, Fromm R, et al. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilatation. Surg Obes Rel Dis. 2006;2:627–31.CrossRef
31.
Zurück zum Zitat Angrisani L, Favretti F, Furbetta F, et al. Italian group for lap-band system: results of multicentre study on patients with BMI ≤35 kg/m2. Obes Surg. 2004;14:415–8.PubMedCrossRef Angrisani L, Favretti F, Furbetta F, et al. Italian group for lap-band system: results of multicentre study on patients with BMI ≤35 kg/m2. Obes Surg. 2004;14:415–8.PubMedCrossRef
32.
Zurück zum Zitat Balsinger BM, Ernst D, Giachino D, et al. Prospective evaluation and 7-year follow-up of Swedish adjustable gastric banding in adults with extreme obesity. J Gastrointest Surg. 2007;11:1470–7.CrossRef Balsinger BM, Ernst D, Giachino D, et al. Prospective evaluation and 7-year follow-up of Swedish adjustable gastric banding in adults with extreme obesity. J Gastrointest Surg. 2007;11:1470–7.CrossRef
33.
Zurück zum Zitat Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? Surg Endosc. 2009;23:334–40.PubMedCrossRef Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? Surg Endosc. 2009;23:334–40.PubMedCrossRef
34.
Zurück zum Zitat Biagini J, Karam L. Ten years experience with laparoscopic adjustable gastric banding. Obes Surg. 2008;18:573–7.PubMedCrossRef Biagini J, Karam L. Ten years experience with laparoscopic adjustable gastric banding. Obes Surg. 2008;18:573–7.PubMedCrossRef
35.
Zurück zum Zitat Blanc PM, Lagoutte JM, Picot MC, et al. Preliminary results of the new laparoscopic adjustable gastric banding procedure by a new generation of silicone band: MIDBAND. Obes Surg. 2008;18:569–72.PubMedCrossRef Blanc PM, Lagoutte JM, Picot MC, et al. Preliminary results of the new laparoscopic adjustable gastric banding procedure by a new generation of silicone band: MIDBAND. Obes Surg. 2008;18:569–72.PubMedCrossRef
36.
Zurück zum Zitat Chevallier J, Zinzindohoué F, Douard R, et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1, 000 patients over 7 years. Obes Surg. 2004;14:407–14.PubMedCrossRef Chevallier J, Zinzindohoué F, Douard R, et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1, 000 patients over 7 years. Obes Surg. 2004;14:407–14.PubMedCrossRef
37.
Zurück zum Zitat Christou N, Efthimiou E. Five-year outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in a comprehensive bariatric surgery program in Canada. Can J Surg. 2009;52:249–58. Christou N, Efthimiou E. Five-year outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in a comprehensive bariatric surgery program in Canada. Can J Surg. 2009;52:249–58.
38.
Zurück zum Zitat Collet D, Rault A, Sa Cunha A, et al. Laparoscopic adjustable gastric banding results after 2 years with two different band types. Obes Surg. 2005;15:853–7.PubMedCrossRef Collet D, Rault A, Sa Cunha A, et al. Laparoscopic adjustable gastric banding results after 2 years with two different band types. Obes Surg. 2005;15:853–7.PubMedCrossRef
39.
Zurück zum Zitat Dargent J. Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure—a 9-year series. Obes Surg. 2004;14:989–90.CrossRef Dargent J. Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure—a 9-year series. Obes Surg. 2004;14:989–90.CrossRef
40.
Zurück zum Zitat Di Lorenzo N, Furbetta F, Favretti F, et al. Laparoscopic adjustable gastric banding via pars flaccida versus perigastric positioning: technique, complications, and results in 2, 549 patients. Surg Endosc. 2010;24:1519–23.PubMedCrossRef Di Lorenzo N, Furbetta F, Favretti F, et al. Laparoscopic adjustable gastric banding via pars flaccida versus perigastric positioning: technique, complications, and results in 2, 549 patients. Surg Endosc. 2010;24:1519–23.PubMedCrossRef
41.
Zurück zum Zitat Lanthaler M, Aigner F, Kinzl J, et al. Long-term results and complications following adjustable gastric banding. Obes Surg. 2010;20:1078–85.PubMedCrossRef Lanthaler M, Aigner F, Kinzl J, et al. Long-term results and complications following adjustable gastric banding. Obes Surg. 2010;20:1078–85.PubMedCrossRef
42.
Zurück zum Zitat Martikainen T, Pirinen E, Alhave E, et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004;14:648–54.PubMedCrossRef Martikainen T, Pirinen E, Alhave E, et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004;14:648–54.PubMedCrossRef
43.
Zurück zum Zitat Mittermair R, Aigner F, Obermüller R. High complication rate after Swedish adjustable gastric banding in younger patients ≤25 years. Obes Surg. 2009;19:446–50.PubMedCrossRef Mittermair R, Aigner F, Obermüller R. High complication rate after Swedish adjustable gastric banding in younger patients ≤25 years. Obes Surg. 2009;19:446–50.PubMedCrossRef
44.
Zurück zum Zitat Nowara HA. Egyptian experience in laparoscopic adjustable gastric banding (technique, complications and intermediate results). Obes Surg. 2001;11:70–5.PubMedCrossRef Nowara HA. Egyptian experience in laparoscopic adjustable gastric banding (technique, complications and intermediate results). Obes Surg. 2001;11:70–5.PubMedCrossRef
45.
Zurück zum Zitat Sarker S, Herold K, Creech S, et al. Early and late complications following laparoscopic adjustable gastric banding. American Surg. 2004;70:146–50. Sarker S, Herold K, Creech S, et al. Early and late complications following laparoscopic adjustable gastric banding. American Surg. 2004;70:146–50.
46.
Zurück zum Zitat Srikanth MS, Oh KH, Keskey T, et al. Critical extreme anterior slippage (Paragastric Richter's hernia) of the stomach after laparoscopic adjustable gastric banding: early recognition and prevention of gastric strangulation. Obes Surg. 2005;15:207–15.PubMedCrossRef Srikanth MS, Oh KH, Keskey T, et al. Critical extreme anterior slippage (Paragastric Richter's hernia) of the stomach after laparoscopic adjustable gastric banding: early recognition and prevention of gastric strangulation. Obes Surg. 2005;15:207–15.PubMedCrossRef
47.
Zurück zum Zitat Tolonen P, Victorzon M, Makela J. 11-year experience with laparoscopic adjustable gastric banding for morbid obesity—what happened to the first 123 patients? Obes Surg. 2008;18:251–5.PubMedCrossRef Tolonen P, Victorzon M, Makela J. 11-year experience with laparoscopic adjustable gastric banding for morbid obesity—what happened to the first 123 patients? Obes Surg. 2008;18:251–5.PubMedCrossRef
48.
Zurück zum Zitat Watkins B, Montgomery KF, Ahroni JH. Laparoscopic adjustable gastric banding: early experience in 400 consecutive patients in the USA. Obes Surg. 2005;15:82–7.PubMedCrossRef Watkins B, Montgomery KF, Ahroni JH. Laparoscopic adjustable gastric banding: early experience in 400 consecutive patients in the USA. Obes Surg. 2005;15:82–7.PubMedCrossRef
49.
Zurück zum Zitat Wölnerhanssen B, Kern B, Peters T, et al. Reduction in slippage with 11-cm lap-band and change of gastric banding technique. Obes Surg. 2005;15:1050–4.PubMedCrossRef Wölnerhanssen B, Kern B, Peters T, et al. Reduction in slippage with 11-cm lap-band and change of gastric banding technique. Obes Surg. 2005;15:1050–4.PubMedCrossRef
50.
Zurück zum Zitat Zehetner J, Holzinger F, Triaca H, et al. A 6-year experience with the Swedish adjustable gastric band. Prospective long-term audit of laparoscopic gastric banding. Surg Endosc. 2005;19:21–8.PubMedCrossRef Zehetner J, Holzinger F, Triaca H, et al. A 6-year experience with the Swedish adjustable gastric band. Prospective long-term audit of laparoscopic gastric banding. Surg Endosc. 2005;19:21–8.PubMedCrossRef
Metadaten
Titel
The Reporting of Gastric Band Slip and Related Complications; A Review of the Literature
verfasst von
Richard John Egan
Simon J. W. Monkhouse
Hayley E. Meredith
Sharon E. Bates
Justin D. T. Morgan
Sally A. Norton
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
Obesity Surgery / Ausgabe 8/2011
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-010-0344-3

Weitere Artikel der Ausgabe 8/2011

Obesity Surgery 8/2011 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.