Laparoscopic Adjustable Gastric Banding: Complications
In the summer of 2001 the United States Food and Drug Administration approved a silicon adjustable gastric banding device for the treatment of morbid obesity (LapBand System, Inamed Health, Santa Barbara, CA) (1). This band, specifically designed for laparoscopic placement, was met with considerable enthusiasm by patients and surgeons alike, who realized the obvious potential benefits of the procedure (2). These include a short hospital stay, superior cosmesis, adjustability, and a decreased risk of malnutrition, to name a few. However, as with any surgical procedure, especially one dealing with a high-risk patient population, unexpected problems can occur. Many of the complications of gastric banding are not new; erosions, for instance, were not uncommon with vertical banded gastroplasty. Others are unique, such as gastric prolapse and tubing problems. This chapter describes the complications of laparoscopic gastric banding, their treatment, and strategies for prevention (Table 20.4-1).
KeywordsMorbid Obesity Gastric Banding Laparoscopic Adjustable Gastric Banding Gastric Perforation Laparoscopic Gastric Banding
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