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Gastric Banding: Complications Identified by CT

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Abstract

Purpose

Laparoscopic adjustable gastric banding (LAGB) used to be a common procedure at the turn of the century and is still frequently encountered on CT scans in common clinical practice. Our aim is to present the frequency and spectrum of complication associated with LAGB, as observed in CT.

Materials and Methods

After approval of our institutional review board, a retrospective search for LAGB in CT interpretations using the term “band” between December 2011 and April 2017 was conducted. CT scans were reviewed to identify complications. The findings were divided into two groups: symptomatic, in which the complications caused acute symptoms for which CT scans were conducted, and incidental, in which complications were incidentally identified. The frequency of complications was calculated.

Results

We identified 160 patients who underwent LAGB and performed a CT scan. Complications were identified in 69/160 (43.1%) patients, with a total of 83 findings: 47/160 (29.4%) esophageal dilatation, 13/160 (8.2%) pulmonary complications, 6/160 (3.8%) abdominal abscesses, 5/160 (3.1%) small bowel obstructions, 4/160 (2.5%) intragastric band erosions, 4/160 (2.5%) tube disconnections, 3/160 (1.9%) port site and tube course infections, and 1/160 (0.6%) small pouch bezoars. When compared with patients’ referral notes, 38/83 (45.8%) of the findings were associated with acute symptoms, whereas 45/83 (54.2%) of the findings were incidental. Eighteen percent of the incidental complications were clinically important.

Conclusion

Complications were found in 43% of CT scans of patients who underwent LAGB; less than half of the findings were symptomatic. Some of the incidentally identified complications had substantial clinical importance.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, 52621, Ramat Gan, Israel

    Ariel Kerpel, Eyal Klang, Eli Konen, Edith Michelle Marom & Marianne Michal Amitai

Authors
  1. Ariel Kerpel
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  2. Eyal Klang
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  3. Eli Konen
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  4. Edith Michelle Marom
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  5. Marianne Michal Amitai
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Correspondence to Ariel Kerpel.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This study is a retrospective study. Informed consent statement does not apply.

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Kerpel, A., Klang, E., Konen, E. et al. Gastric Banding: Complications Identified by CT. OBES SURG 29, 499–505 (2019). https://doi.org/10.1007/s11695-018-3534-z

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