Adjustable laparoscopic gastric band for the treatment of morbid obesity: radiologic evaluation

AJR. American Journal of Roentgenology
R A SzucsH J Sugerman

Abstract

This article describes the radiographic appearance of a recently developed laparoscopically placed adjustable gastric band for the treatment of morbid obesity. The optimal technique for contrast evaluation of the device, complications associated with its use, and the technique for stoma adjustments are also discussed. Between May and December 1996, 23 patients at our institution underwent laparoscopic placement of adjustable silicone gastric bands for treatment of morbid obesity. All patients underwent a barium upper gastrointestinal series before surgery, 1 day after band placement, at variable intervals when each patient returned for band adjustment, and at 1 year. Unlike the case in other gastric weight loss procedures, the optimal patient position for contrast evaluation of gastric bands was anteroposterior or slightly right posterior oblique. Twenty-one of 23 patients had no complications shown on the postoperative upper gastrointestinal series. Stoma size was approximately 3-8 mm, and most patients showed delayed esophageal emptying without obstruction. Two patients had herniation of the stomach through the gastric band with pouch enlargement, resulting in obstruction and the need for additional surgery. We saw no leaks o...Continue Reading

Citations

Apr 23, 2011·Der Radiologe·M KarpitschkaS Weckbach
Dec 21, 2007·AJR. American Journal of Roentgenology·Robert C ChandlerSrinivasa R Prasad
Jan 24, 2008·AJR. American Journal of Roentgenology·Colin K F Tan, Graham D Walker
Jun 22, 2001·AJR. American Journal of Roentgenology·K J MorteléP R Ros
Jul 13, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Sushilkumar K SonavaneKumaresan Sandrasegaran
Nov 4, 2010·The British Journal of Radiology·S ShahD M Blunt
Oct 4, 2012·Clinical Radiology·D FlowersA Higginson
Jan 13, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Deepali GuptaMarina S Kurian
May 16, 2007·Radiologic Clinics of North America·Laura R CarucciRichard A Szucs
Oct 23, 2009·Gastrointestinal Endoscopy·Jose C Varghese, Shuvro H Roy-Choudhury
Nov 6, 2001·The American Journal of Gastroenterology·D J Ott
May 17, 2011·Gastrointestinal Endoscopy Clinics of North America·Daniel M Herron, Ramin Roohipour

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