Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals
The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points". We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations. Between April 19...
Gespeichert in:
| Veröffentlicht in: | Obesity surgery 2004-06, Vol.14 (6), p.806-810 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 810 |
|---|---|
| container_issue | 6 |
| container_start_page | 806 |
| container_title | Obesity surgery |
| container_volume | 14 |
| creator | Korenkov, M Kneist, W Heintz, A Junginger, Th |
| description | The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points".
We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations.
Between April 1997 and May 2002 115 patients in Cologne (87 females, 28 males) with median BMI 49.5 kg/m(2) and mean age 39 years (19-54), and 112 patients in Mainz (91 females, 21 males) with median BMI 48 kg/m(2) and mean age 35 years (18-57) underwent LAGB, using the Lap-Band. LAGB was performed through 5 ports (3 10-mm, 1 18-mm, and 1 5-mm in Cologne and 4 10-mm and 1 18-mm port in Mainz). The pars flaccida technique by means of a fan-shaped Endo-Retractor was used in both clinics. Mean duration of follow-up was 3.2 years (SD 1.0) in the Cologne group with complete investigation in all except 4 patients. In the Mainz group, mean duration of follow-up was 2.7 years (SD 1.0) with complete investigation in all except 9 patients.
Some technical aspects such as induction of pneumoperitoneum, band position, band fixation, band malposition and port-related complications are discussed. |
| doi_str_mv | 10.1381/0960892041591006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66800263</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66800263</sourcerecordid><originalsourceid>FETCH-LOGICAL-c322t-5b11926506fb9100223b8c9d9585536d61a15729f5189433eb12f31395bc75323</originalsourceid><addsrcrecordid>eNpdkb1rHDEUxEVwiM8ffaogXLjbRE866SR3wTjngCGNXS9a7dtYh1a7kbSOXfh_jw4fBFxN8X4z8GYI-QzsKwgN35hRTBvO1iANMKY-kBVsmG7Ymusjstqfm3oXx-Qk5x1jHBTnn8gxSAHa6M2KvN6je4ze2UBtKJiiLf4JM_WRBjvbNGU3zd7ROViHI8ZCp4HaSG2_W3KxXUD62-aSKtLZ2F9RfJ4xeYwO92T5O9EtprE6lliDU_blhT5OefbFhnxGPg5V8Pygp-Thx8399W1z92v78_r7XeME56WRHYDhSjI1dPs_OReddqY3UkspVK_AgtxwM8j61VoI7IAPAoSRndtIwcUpuXzLndP0Z8Fc2tFnhyHYiNOSW6V0TVWighfvwN201FJCbjUHZtaK6wqxN8jVenLCoZ2TH216aYG1-13a97tUy5dD7tKN2P83HIYQ_wBzE4fV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>821094628</pqid></control><display><type>article</type><title>Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Korenkov, M ; Kneist, W ; Heintz, A ; Junginger, Th</creator><creatorcontrib>Korenkov, M ; Kneist, W ; Heintz, A ; Junginger, Th</creatorcontrib><description>The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points".
We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations.
Between April 1997 and May 2002 115 patients in Cologne (87 females, 28 males) with median BMI 49.5 kg/m(2) and mean age 39 years (19-54), and 112 patients in Mainz (91 females, 21 males) with median BMI 48 kg/m(2) and mean age 35 years (18-57) underwent LAGB, using the Lap-Band. LAGB was performed through 5 ports (3 10-mm, 1 18-mm, and 1 5-mm in Cologne and 4 10-mm and 1 18-mm port in Mainz). The pars flaccida technique by means of a fan-shaped Endo-Retractor was used in both clinics. Mean duration of follow-up was 3.2 years (SD 1.0) in the Cologne group with complete investigation in all except 4 patients. In the Mainz group, mean duration of follow-up was 2.7 years (SD 1.0) with complete investigation in all except 9 patients.
Some technical aspects such as induction of pneumoperitoneum, band position, band fixation, band malposition and port-related complications are discussed.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1381/0960892041591006</identifier><identifier>PMID: 15318987</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Clinical outcomes ; Female ; Gastroplasty - methods ; Humans ; Laparoscopy ; Male ; Medical treatment ; Middle Aged ; Pneumoperitoneum, Artificial</subject><ispartof>Obesity surgery, 2004-06, Vol.14 (6), p.806-810</ispartof><rights>Springer 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-5b11926506fb9100223b8c9d9585536d61a15729f5189433eb12f31395bc75323</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15318987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korenkov, M</creatorcontrib><creatorcontrib>Kneist, W</creatorcontrib><creatorcontrib>Heintz, A</creatorcontrib><creatorcontrib>Junginger, Th</creatorcontrib><title>Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points".
We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations.
Between April 1997 and May 2002 115 patients in Cologne (87 females, 28 males) with median BMI 49.5 kg/m(2) and mean age 39 years (19-54), and 112 patients in Mainz (91 females, 21 males) with median BMI 48 kg/m(2) and mean age 35 years (18-57) underwent LAGB, using the Lap-Band. LAGB was performed through 5 ports (3 10-mm, 1 18-mm, and 1 5-mm in Cologne and 4 10-mm and 1 18-mm port in Mainz). The pars flaccida technique by means of a fan-shaped Endo-Retractor was used in both clinics. Mean duration of follow-up was 3.2 years (SD 1.0) in the Cologne group with complete investigation in all except 4 patients. In the Mainz group, mean duration of follow-up was 2.7 years (SD 1.0) with complete investigation in all except 9 patients.
Some technical aspects such as induction of pneumoperitoneum, band position, band fixation, band malposition and port-related complications are discussed.</description><subject>Adult</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Gastroplasty - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Pneumoperitoneum, Artificial</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkb1rHDEUxEVwiM8ffaogXLjbRE866SR3wTjngCGNXS9a7dtYh1a7kbSOXfh_jw4fBFxN8X4z8GYI-QzsKwgN35hRTBvO1iANMKY-kBVsmG7Ymusjstqfm3oXx-Qk5x1jHBTnn8gxSAHa6M2KvN6je4ze2UBtKJiiLf4JM_WRBjvbNGU3zd7ROViHI8ZCp4HaSG2_W3KxXUD62-aSKtLZ2F9RfJ4xeYwO92T5O9EtprE6lliDU_blhT5OefbFhnxGPg5V8Pygp-Thx8399W1z92v78_r7XeME56WRHYDhSjI1dPs_OReddqY3UkspVK_AgtxwM8j61VoI7IAPAoSRndtIwcUpuXzLndP0Z8Fc2tFnhyHYiNOSW6V0TVWighfvwN201FJCbjUHZtaK6wqxN8jVenLCoZ2TH216aYG1-13a97tUy5dD7tKN2P83HIYQ_wBzE4fV</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Korenkov, M</creator><creator>Kneist, W</creator><creator>Heintz, A</creator><creator>Junginger, Th</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals</title><author>Korenkov, M ; Kneist, W ; Heintz, A ; Junginger, Th</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-5b11926506fb9100223b8c9d9585536d61a15729f5189433eb12f31395bc75323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Gastroplasty - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Pneumoperitoneum, Artificial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korenkov, M</creatorcontrib><creatorcontrib>Kneist, W</creatorcontrib><creatorcontrib>Heintz, A</creatorcontrib><creatorcontrib>Junginger, Th</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korenkov, M</au><au>Kneist, W</au><au>Heintz, A</au><au>Junginger, Th</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2004-06</date><risdate>2004</risdate><volume>14</volume><issue>6</issue><spage>806</spage><epage>810</epage><pages>806-810</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points".
We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations.
Between April 1997 and May 2002 115 patients in Cologne (87 females, 28 males) with median BMI 49.5 kg/m(2) and mean age 39 years (19-54), and 112 patients in Mainz (91 females, 21 males) with median BMI 48 kg/m(2) and mean age 35 years (18-57) underwent LAGB, using the Lap-Band. LAGB was performed through 5 ports (3 10-mm, 1 18-mm, and 1 5-mm in Cologne and 4 10-mm and 1 18-mm port in Mainz). The pars flaccida technique by means of a fan-shaped Endo-Retractor was used in both clinics. Mean duration of follow-up was 3.2 years (SD 1.0) in the Cologne group with complete investigation in all except 4 patients. In the Mainz group, mean duration of follow-up was 2.7 years (SD 1.0) with complete investigation in all except 9 patients.
Some technical aspects such as induction of pneumoperitoneum, band position, band fixation, band malposition and port-related complications are discussed.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15318987</pmid><doi>10.1381/0960892041591006</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2004-06, Vol.14 (6), p.806-810 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66800263 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Clinical outcomes Female Gastroplasty - methods Humans Laparoscopy Male Medical treatment Middle Aged Pneumoperitoneum, Artificial |
| title | Technical alternatives in laparoscopic placement of an adjustable gastric band: experience of two German university hospitals |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T06%3A34%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Technical%20alternatives%20in%20laparoscopic%20placement%20of%20an%20adjustable%20gastric%20band:%20experience%20of%20two%20German%20university%20hospitals&rft.jtitle=Obesity%20surgery&rft.au=Korenkov,%20M&rft.date=2004-06&rft.volume=14&rft.issue=6&rft.spage=806&rft.epage=810&rft.pages=806-810&rft.issn=0960-8923&rft.eissn=1708-0428&rft_id=info:doi/10.1381/0960892041591006&rft_dat=%3Cproquest_cross%3E66800263%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=821094628&rft_id=info:pmid/15318987&rfr_iscdi=true |