Band erosion after laparoscopic gastric banding: occurrence and results after conversion to Roux-en-Y gastric bypass

Laparoscopic adjustable gastric banding is a popular bariatric operation. Unfortunately, long-term complications such as slippage, infection, and intragastric migration (erosion) may occur. With erosion, band removal is mandatory. Options to prevent weight regain are delayed implantation of a new ba...

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Bibliographic Details
Published in:Obesity surgery 2004-03, Vol.14 (3), p.381-386
Main Authors: Suter, Michel, Giusti, Vittorio, Héraief, Eric, Calmes, Jean-Marie
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anastomosis, Roux-en-Y
Data collection
Female
Foreign-Body Migration - epidemiology
Foreign-Body Migration - etiology
Foreign-Body Migration - surgery
Gastric Bypass - methods
Gastroplasty - adverse effects
Humans
Laparoscopy
Male
Middle Aged
Prevalence
Prostheses and Implants - adverse effects
Reoperation
Switzerland - epidemiology
Treatment Outcome
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Summary:Laparoscopic adjustable gastric banding is a popular bariatric operation. Unfortunately, long-term complications such as slippage, infection, and intragastric migration (erosion) may occur. With erosion, band removal is mandatory. Options to prevent weight regain are delayed implantation of a new band, or conversion to another bariatric procedure such as Roux-en-Y gastric bypass (RYGBP) or biliopancreatic diversion. We present our experience with band erosion and immediate or delayed conversion to RYGBP. With a multidisciplinary team approach and prospective data collection, a comparison was made between patients with and without band erosion. The patients who were converted to RYGBP for band erosion were analyzed. Gastric banding was performed on 347 patients between 1995 and 2002. Median follow-up is 52 months. Band erosion developed in 24 patients (6.8 %). The latter were heavier before gastric banding (BMI 45.9 vs 43.3, P 50%, which compares favorably with the results obtained after primary RYGBP. In our series with a median follow-up >4 years, band erosion was more common than usually reported. Band removal with immediate or delayed conversion to RYGBP is feasible with an acceptable morbidity, and prevents weight regain in most cases. These results support further use of this approach for band erosion.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089204322917918