Port complications following laparoscopic adjustable gastric banding for morbid obesity
Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyz...
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| Veröffentlicht in: | Obesity surgery 2005-03, Vol.15 (3), p.361-365 |
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| creator | Keidar, Andrei Carmon, Einat Szold, Amir Abu-Abeid, Subhi |
| description | Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, and the optimal technique of port implantation and management has not been elucidated.
All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed.
1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient.
Access-port complications after the Lap-Band procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications. |
| doi_str_mv | 10.1381/0960892053576604 |
| format | Article |
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All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed.
1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient.
Access-port complications after the Lap-Band procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1381/0960892053576604</identifier><identifier>PMID: 15826470</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Aged ; Body Mass Index ; Equipment Failure ; Female ; Follow-Up Studies ; Gastrointestinal surgery ; Gastroplasty - adverse effects ; Gastroplasty - instrumentation ; Hernia, Abdominal - etiology ; Humans ; Intubation - adverse effects ; Intubation - instrumentation ; Laparoscopy ; Male ; Middle Aged ; Obesity ; Obesity, Morbid - surgery ; Postoperative Complications - prevention & control ; Reoperation ; Retrospective Studies ; Surgical outcomes ; Surgical techniques ; Surgical Wound Infection - etiology ; Time Factors ; Weight control</subject><ispartof>Obesity surgery, 2005-03, Vol.15 (3), p.361-365</ispartof><rights>Springer 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-c1d717b91e7c3a05b7245e4f899eaff1a2eb1217d0ef70bad3690acb7d9062bb3</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/15826470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keidar, Andrei</creatorcontrib><creatorcontrib>Carmon, Einat</creatorcontrib><creatorcontrib>Szold, Amir</creatorcontrib><creatorcontrib>Abu-Abeid, Subhi</creatorcontrib><title>Port complications following laparoscopic adjustable gastric banding for morbid obesity</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, and the optimal technique of port implantation and management has not been elucidated.
All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed.
1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient.
Access-port complications after the Lap-Band procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Body Mass Index</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty - adverse effects</subject><subject>Gastroplasty - instrumentation</subject><subject>Hernia, Abdominal - etiology</subject><subject>Humans</subject><subject>Intubation - adverse effects</subject><subject>Intubation - instrumentation</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - prevention & control</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Surgical Wound Infection - etiology</subject><subject>Time Factors</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkM1LxDAQxYMo7rp69yTFg7fqJGmT5iiLX7CgB8VjyeeSpW1q0iL739tlF4RlDgPzfm-YeQhdY7jHtMIPIBhUgkBJS84YFCdojjlUORSkOkXznZxPOp2hi5Q2AAQzQs7RDJcVYQWHOfr-CHHIdGj7xms5-NClzIWmCb--W2eN7GUMSYfe60yazZgGqRqbrWUa4jRSsjM7zoWYtSEqb7KgbPLD9hKdOdkke3XoC_T1_PS5fM1X7y9vy8dVrikphlxjwzFXAluuqYRScVKUtnCVEFY6hyWxChPMDVjHQUlDmQCpFTcCGFGKLtDdfm8fw89o01C3PmnbNLKzYUw145wKVpIJvD0CN2GM3XRbXRGMgfKpFgj2kJ6-TtG6uo--lXFbY6h3idfHiU-Wm8PeUbXW_BsOEdM_D8B8fg</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Keidar, Andrei</creator><creator>Carmon, Einat</creator><creator>Szold, Amir</creator><creator>Abu-Abeid, Subhi</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>200503</creationdate><title>Port complications following laparoscopic adjustable gastric banding for morbid obesity</title><author>Keidar, Andrei ; 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However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, and the optimal technique of port implantation and management has not been elucidated.
All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed.
1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient.
Access-port complications after the Lap-Band procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15826470</pmid><doi>10.1381/0960892053576604</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Body Mass Index Equipment Failure Female Follow-Up Studies Gastrointestinal surgery Gastroplasty - adverse effects Gastroplasty - instrumentation Hernia, Abdominal - etiology Humans Intubation - adverse effects Intubation - instrumentation Laparoscopy Male Middle Aged Obesity Obesity, Morbid - surgery Postoperative Complications - prevention & control Reoperation Retrospective Studies Surgical outcomes Surgical techniques Surgical Wound Infection - etiology Time Factors Weight control |
| title | Port complications following laparoscopic adjustable gastric banding for morbid obesity |
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