Injection Port and Connecting Tube Complications after Laparoscopic Adjustable Gastric Banding

Lattuada, Ezio; Zappa, Marco Antonio; Mozzi, Enrico; Antonini, Ilaria; Boati, Paolo; Roviaro, Gian Carlo
April 2010
Obesity Surgery;Apr2010, Vol. 20 Issue 4, p410
Academic Journal
Port-site and connecting tube complications are usually considered minor problems in the follow-up of obese patients submitted to laparoscopic adjustable gastric banding (LAGB), but the incidence reported in literature ranges from 4.3% to 24%. These complications are mainly because of the mechanical stress of the port and the tube; therefore, their incidence might be time dependent and probably increase during the follow-up. We evaluated retrospectively 489 obese patients submitted to LAGB from February 1998 to December 2005, considering all the complications of the connecting tube and port. Their clinical signs, imaging exams, operative reports, and hospitalization files were evaluated. The mean follow-up of the patients was 41 months. Seventy-one patients (14.5%) presented port and connecting tube complications that required 82 revisional operations. Fifty-four patients had system leaks, 3 had infection problems, and 14 mechanical problems, always requiring surgical revision. In five patients, the system leak was observed twice and required a second surgical repair, while one patient presented three times a leakage of the connecting tube and needed three surgical revisions. All cases of system leakage were related to significant weight regain. In one case of recurrent port infection, we had to remove the band. Port-site and connecting tube problems are the most common complications after LAGB. Although they are considered marginal complications, they usually cause weight regain; their correction often requires surgical revision and sometimes removal of the band.


Related Articles

  • Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience. Naef, Markus; Mouton, Wolfgang G.; Naef, Ursula; Kummer, Oliver; Muggli, Beat; Wagner, Hans E. // Obesity Surgery;Sep2010, Vol. 20 Issue 9, p1206 

    Laparoscopic adjustable gastric banding (LAGB) has been considered by many as the treatment of choice for morbid obesity because of its simplicity and encouraging early results. The aim of this prospective study was to critically assess the effects, complications, and outcome after LAGB in the...

  • Laparoscopic vertical sleeve gastrectomy after open gastric banding in a patient with situs inversus totalis. Deutsch, Gary B.; Gunabushanam, V.; Mishra, N.; Sathyanarayana, S. Anantha; Kamath, V.; Buchin, D. // Journal of Minimal Access Surgery;Jul-Sep2012, Vol. 8 Issue 3, p93 

    While several equivalent alternatives are available in the bariatric algorithm, more recently the laparoscopic sleeve gastrectomy (SG) has been gaining traction as an effective means of weight loss in patients with morbid obesity. We present the case of a 39-year-old woman with situs inversus...

  • Sugammadex Allows Fast-Track Bariatric Surgery. Carron, Michele; Veronese, Stefano; Foletto, Mirto; Ori, Carlo // Obesity Surgery;Oct2013, Vol. 23 Issue 10, p1558 

    Background: Morbidly obese (MO) patients are at increased risk for postoperative anesthesia-related complications. We evaluated the role of sugammadex versus neostigmine in the quality of recovery from profound rocuronium-induced neuromuscular blockade (NMB) in patients with morbid obesity....

  • Assessing the outcomes and complications of gastric banding with mesh in morbid obesity in Kashan Shahid Beheshti hospital during 2007-9. Kalidari, B.; Khaleghian, M.; Arbabi, M.; Mousavi, G. A. // Feyz Journal of Kashan University of Medical Sciences;Sep2010, Vol. 14 Issue 3, p66 

    Background: Patients with morbid obesity have different signs .The overall morbidity rate among the patients with 50% over-weigh is twice. Many types of operations are invented to overcome the problem, one of which is gastric banding with mesh. Materials and Methods: Thirty patients treated with...

  • Anesthetic management for super-super morbidly obese patient. Erbas, Mesut; Toman, Huseyin; Kiraz, Hasan Ali; Simsek, Tuncer; Arik, M. Kasim; Uyan, Berna; Sahin, Hasan // Anaesthesia, Pain & Intensive Care;Jul-Sep2014, Vol. 18 Issue 3, p291 

    Obesity leads to several changes in both airway and drug metabolism. The problems are compounded in cases of super super morbid obesity. Gastric banding surgery for weight loss was planned for a 47 year old, super-super morbidly obese female patient (164 kg and 151 cm, BMI: 72 kg/m²). On...

  • THE CONTRIBUTION OF GASTRIC EMPTYING SCINTIGRAPHY TO THE TREATMENT OF OBESITY WITH GASTRIC BANDAGE - PRELIMINARY RESULTS. Hladik, Pavel; Vizda, Jaroslav; Mala, Eva; Zadak, Zdenek; Hroch, Tomas // Biomedical Papers of the Medical Faculty of Palacky University i;2008, Vol. 152 Issue 1, p125 

    Introduction: Gastric banding for morbid obesity is among the least mutilating of procedures used in bariatric surgery and is classified as a restrictive surgical method. Although it is widespread, so far, however the mechanism responsible has not been fully explained. Methods and results: The...

  • Laparoscopic repair of gastro-duodenal fistula secondary to band erosion. Patel, Kunal J.; Byrne, T. Karl; Pullatt, Rana C. // Journal of Minimal Access Surgery;OCt-Dec2014, Vol. 10 Issue 4, p216 

    Laparoscopic gastric banding is one of the most common surgical treatments for morbid obesity performed worldwide. The procedure, however, has many welldocumented risks and complications, including band erosion. We present here a gastric banding patient who was referred to our tertiary care...

  • Removal of Eroded Gastric Bands Using a Transgastric SILS Device. Spitali, C.; De Vogelaere, K.; Delvaux, G. // Case Reports in Surgery;2013, p1 

    Background. Laparoscopic adjustable gastric banding (LAGB) is a popular method for the treatment of morbid obesity. One of the most feared complications is gastric band erosion which occurs with a reported incidence of 0.3 to 14%. Intragastric migrated bands are best managed by endoscopic...

  • Two Stages Conversion of Failed Laparoscopic Adjustable Gastric Banding to Laparoscopic Roux-En-Y Gastric Bypass. A Study of One Hundred Patients. Carandina, Sergio; Tabbara, Malek; Bossi, Manuela; Helmy, Nada; Polliand, Claude; Barrat, Christophe // Journal of Gastrointestinal Surgery;Oct2014, Vol. 18 Issue 10, p1730 

    Introduction: Conversion to laparoscopic gastric bypass (LRYGB) appears to be the treatment of choice after failed LAGB. To reduce the risk of postoperative complications, some surgeons routinely adopt a two-stage strategy. The purpose of this study was to analyze our institution's experience...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics