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Obesity Surgery

, Volume 15, Issue 4, pp 523–527 | Cite as

Laparoscopic Gastric Bypass with Silicone Band in a Pig Model: Prevention of Anastomotic Dilatation – Feasibility Study

  • David Nocca
  • Michel Gagner
  • Federico Cuenca Abente
  • Gian Mattia Del Genio
  • Kazuki Ueda
  • Ahmad Assalia
  • Thomas Rogula
  • Diego Bertani
Article

Background: Morbid obesity has become a major global health problem. Surgery remains the only effective treatment for patients with severe obesity, because diet reduction methods and pharmacologic agents have not resulted in long-term weight reduction. Gastric bypass (GBP) can provide adequate weight loss, but after some years, dilatation of the gastric pouch and outlet may lead to weight regain by allowing the patient to increase food intake. Methods: 2 groups of 6 pigs underwent laparoscopic GBP. In the first group, a non-adjustable silicone band (Proring®-band, IOC, Innovative Obesity Care, Saint Etienne, France) was positioned 1 cm proximal to the gastrojejunal anastomosis. In the second group, the device used to stabilize the gastric pouch was an adjustable silicone band (Mid-band®, Medical Innovation Developpement, Villeurbanne, France). Weight loss, complications and histological reaction were evaluated after 3 months. Results: Mortality rate was 25% (cardiac arrythmia in 2 pigs). Conversion rate was 25%. The positioning of the band was more difficult with the Mid-band® because of its larger size and the presence of the catheter. The average weight change in the Proring® group was 15.8 kg (3.5–25.1 kg), and in the Mid-band® group was 12.0 kg (6.2–15.1 kg). Morbidity consisted of one intragastric migration of the Proring® band into the gastrojejunal anastomosis, and one infection of the port in the Mid-band® group treated by removal of the port and antibiotics. Conclusion: Use of silicone devices may be safe and effective in the prevention of pouch or outlet dilatation after GBP.

LAPAROSCOPIC GASTRIC BYPASS BARIATRIC SURGERY GASTRIC BANDING SILICONE GASTRIC POUCH OUTLET DILATATION 

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Copyright information

© Springer 2005

Authors and Affiliations

  • David Nocca
    • Michel Gagner
      • Federico Cuenca Abente
        • Gian Mattia Del Genio
          • Kazuki Ueda
            • Ahmad Assalia
              • Thomas Rogula
                • Diego Bertani

                  There are no affiliations available

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