Abstract:
BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) has gained popularity for treatment of morbid obesity worldwide. With the widespread use of LAGB, an increasing number of medical specialists are dealing with the potentially life-threatening complications of this procedure. METHODS:More than 6,000 LABGs were performed by our surgeons during the past 11 years, during which various complications of LAGB were observed, including band slippage, erosion, gastric pouch dilatation, port infection, and disconnection. Complicated cases requiring emergency surgical intervention were collected. We present and discuss the diagnostic and therapeutic possibilities of these complications. RESULTS:Fourteen cases were identified: six with acute band slippage, two with small bowel obstruction, and one each with band slippage and fetal intrauterine growth restriction during the 36th week of pregnancy, perforated gastric ulcer, upper gastrointestinal bleeding, connecting tube penetration into a stomach ulcer, connecting tube penetration into the colon, and port disconnection. All patients had gastrointestinal symptoms at admission. Band reposition was performed in four cases; eight patients required band removal for band contamination. The band was open and still in place in one case. Open and laparoscopic gastric resections for necrotic stomach were performed in two cases. Suture of perforated gastric ulcer was combined with cesarean section. Connection of disconnected port and suture of colonic and gastric penetrations and perforation of fundus were completed laparoscopically. Small bowel resection and enterotomy required an additional minimal laparotomic incision. No mortality was observed in our series. Four patients elected to have the LAGB reinserted at a later time. CONCLUSION:The increasing number of bariatric procedures has resulted in emergency physicians' knowledge of serious complications of LAGB that require urgent surgical intervention. Treatment algorithms require early diagnosis and a surgical approach to solving these conditions.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Kirshtein B,Lantsberg L,Mizrahi S,Avinoach Edoi
10.1007/s11695-009-0059-5subject
Has Abstractpub_date
2010-11-01 00:00:00pages
1468-78issue
11eissn
0960-8923issn
1708-0428journal_volume
20pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Although, the vast majority of bariatric procedures worldwide are performed laparoscopically, there is no consensus on the best technique to enter the first trocar, a potentially dangerous maneuver. Three principally different techniques exist: initial pneumoperitoneum by Verres needle, open Hasson technique...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2080-9
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:As our bariatric program matured, we noted that length of stay (LOS) steadily decreased. This led us to analyze our experience to identify factors contributing to this abbreviated LOS and to evaluate the safety of discharging patients with only a 2-day LOS. METHODS:All patients undergoing open Roux-en-Y gas...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089204772787257
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Obesity impairs quality of life, but the perception of the impairment could be different from one country to another. The purpose was to compare weight-related quality of life (QOL) between cohorts from Spain and North America. METHODS:A cross-sectional case-control study was performed between two populatio...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-012-0791-0
更新日期:2013-04-01 00:00:00
abstract::In order to avoid a stagnant loop syndrome in intestinal bypass operations for morbid obesity, we have tried a jejunoileal bypass with a side-to-side anastomosis in a pilot study. Seven patients were operated on with this method, which resulted in a very high incidence of liver damage. The study puts a question mark t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089291765561187
更新日期:1991-06-01 00:00:00
abstract:BACKGROUND:Malnutrition and overweight is a common problem in modern societies. Primary abdominal lipectomy is a standard surgical tool in patients with these problems. However, unknown secondary problems result from recent advances in obesity surgery. Plication of the anterior musculoaponeurotic wall is a widely and c...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9559-y
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203322509426
更新日期:2003-10-01 00:00:00
abstract:INTRODUCTION:Surgical training today is all about minimally invasive surgery. With little or no experience and/or confidence in rapid, emergent conversion to an open procedure, how does the surgeon expeditiously do so? OBJECTIVES:The intent of this paper is to help those inexperienced in "open" techniques to quickly r...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2095-2
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:As laparoscopic sleeve gastrectomy (LSG) is becoming the most popular bariatric procedure worldwide, treatment options for managing complications, in particular gastric leaks, are also emerging. Staple line leak is a major short-term complication of the procedure. Patients with persistent gastric leaks after...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04255-y
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:There is strong evidence that morbid obesity is often accompanied by gastroesophageal reflux. Gastroesophageal reflux is caused predominantly by transient lower esophageal sphincter relaxations (TLESRs). Only few data are available about TLESRs in patients with stage III obesity (body mass index > 35). The a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9809-7
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND AIM:Staple line complications and axial rotation of the gastric tube after sleeve gastrectomy are well-recognized complications of the procedure. The present study aims to investigate the role of staple line inversion and distal fixation to the transverse mesocolon in reducing these complications. PATIE...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2277-y
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Psychological factors are considered potential contraindicators to bariatric surgery, but inconsistently predict surgical outcomes. We examined biomedical and psychosocial predictors of future bariatric candidacy in a population of veterans enrolling in a multidisciplinary weight management program. METHODS...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0287-8
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:A technique for standard laparoscopic BPD was developed. METHODS:Standard laparoscopic BPD was performed in 26 morbidly obese patients with mean BMI 43. Details of the technique, using 6 trocars, and instrumentation are described. Intestinal limb lengths were measured fully stretched, and the gastric remnan...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1381/096089202762552692
更新日期:2002-04-01 00:00:00
abstract::Severe thiamine (vitamin B-1) deficiency is a medical emergency that has long been recognized as a potential complication of bariatric surgery. The incidence of this rare complication is largely unknown. We describe a super-obese male patient with extreme lower limb weakness 3 months following a duodenal switch operat...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9539-2
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Current recommendations suggest postponing pregnancy by at least 1 year after gastric bypass. During the first postoperative year, women are in a catabolic phase with a rapid weight loss which may increase the risk of adverse pregnancy and neonatal outcomes. This study tested the hypothesis that the risk of ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-0903-5
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Bariatric surgery constitutes the most effective treatment for severely obese type 2 diabetic patients. Exenatide is a glucagon-like peptide 1 receptor agonist that can improve glycemic control and cause weight loss in patients with type 2 diabetes. Clinical experience with exenatide in obese patients with t...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s11695-014-1563-9
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels followin...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1402-z
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Endoscopic gastric balloons have been used effectively as weight loss devices for decades, but the requirement for endoscopy and sedation poses several limitations. The goal of this pilot study was to evaluate the safety and performance of a prototype version of Elipse™, a procedureless gastric balloon. MET...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1783-7
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and d...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089297765555755
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Shortened sleep duration causes hormonal and metabolic changes that favor fat accumulation and weight gain. Obesity, in turn, may reduce sleep quality and contribute to sleep loss. The purpose of this study was to evaluate the sleep durations of individuals with morbid obesity, compared to their nonobese cou...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0541-8
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-019-04165-z
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Recent data has shown that the use of warmed, humidified carbon dioxide (CO2) insufflation during laparoscopic surgery may be associated with better outcomes. METHODS:We performed a randomized, doubleblind, prospective controlled clinical trial of 30 patients undergoing laparoscopic Roux-en-Y gastric bypass...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/0960892052993530
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Obese patients with gastroesophageal reflux disease (GERD) refractory to medical therapy are a challenging patient population as obesity is a preoperative predictor of failure after antireflux surgery. We therefore sought to evaluate outcomes using one of two commercially available endoluminal therapies in t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9715-4
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:The authors review preliminary experience with silastic ring vertical gastroplasty (SRVG). METHODS:Of 202 patients who underwent SRVG, 191 are more than 3 months postoperation and of these 165 were accessible for review. RESULTS:Pouch volume could not be readily measured. The TA90BN stapler was occasionall...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089297765555278
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:This prospective cohort analysis describes changes in weight, cardiometabolic health, and weight-related quality of life (WRQOL) following adolescent LAGB. METHODS:Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) collected demographic, anthropometric, micronutrient, cardiometabolic risk, and WRQ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04504-5
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Patients with laparoscopic adjustable gastric bands (LAGB) present at times with adverse symptoms or unsatisfactory weight loss, where a liquid contrast swallow or upper gastrointestinal endoscopy is not diagnostic. Stress barium and high resolution manometry are promising investigations, however, have not y...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0258-0
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Because perioperative complications of unrecognized obstructive sleep apnea (OSA) can be severe, many bariatric surgery programs routinely screen all patients. However, many obese non-bariatric surgery patients do not get screened. We wanted to evaluate the need for routine preoperative OSA screening. METHO...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0806-x
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Surgery is the only long-lasting effective treatment for morbid obesity. Prediction on successful weight loss after surgery by data mining technologies is lacking. We analyze the available information during the initial evaluation of patients referred to bariatric surgery by data mining methods for predictor...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9322-9
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:No conclusive data exists supporting the use of any prokinetic agent in the postoperative setting. The study was designed to examine the effect of erythromycin on small bowel motility in a placebo-controlled trial of post gastric bypass patients utilizing a standardized nuclear medicine test. METHODS:A cons...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/096089202320995538
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:The staple line leakage is a dangerous complication of sleeve gastrectomy. Various strategies have been tried to reduce the leakage risk. The amniotic membrane (AmM) is the inner layer of the placental membranes and has anti-inflammatory, anti-fibrosis, and anti-scarring effects, and it also has lower immune...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04027-8
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:The Beck Depression Inventory (BDI) is commonly used in the screening and evaluation process with bariatric surgery candidates despite relatively limited psychometric evidence in this patient group. We examined the validity of the BDI and its clinical utility for subtyping women seeking gastric bypass surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2047-x
更新日期:2016-09-01 00:00:00