gms | German Medical Science

132. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

28.04. - 01.05.2015, München

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Migrated Adjustable Gastric Bands – A single center experience with the endoscopic approach

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  • Julian Umlauft - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Tomasz Dziodzio - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland
  • Felix Aigner - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland
  • Robert Sucher - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland
  • Sascha Weiss - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Christian Denecke - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland
  • Alexander Perathoner - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Andreas Brandl - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Katrin Kienzl - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Heinz Wykypiel - Medical University Innsbruck, Department of Visceral, Transplant, and Thoracic Surgery, Innsbruck, Österreich
  • Johann Pratschke - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland
  • Matthias Biebl - Charité, Department of General, Visceral and Transplantation Surgery, Berlin, Deutschland

Deutsche Gesellschaft für Chirurgie. 132. Kongress der Deutschen Gesellschaft für Chirurgie. München, 28.04.-01.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15dgch382

doi: 10.3205/15dgch382, urn:nbn:de:0183-15dgch3824

Published: April 24, 2015

© 2015 Umlauft et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Introduction: Transgastric migration of adjustable gastric banding is an often described cause of band failure, resulting in band removal. This study presents a single center endoscopic approach to band removal.

Material and methods: We retrospectively analyzed 29 (f=28) patients, who underwent endoscopic band removal from June 2002 to December 2013. All removals were performed under general anesthesia, by flexible endoscopy using an A.M.I. Aigner Gastric Band Cutter system, with simultaneous port removal. Indications for removal, time from surgery to removal, morbidity, and mortality were analyzed. Data are reported as total numbers (%) and mean ± standard deviation.

Results: Endoscopic removal was possible when the band had migrated enough to be passed endoscopically on two sides to install the band cutter. The mean interval between band implantation and endoscopic removal was 64.9 ± 33.7 months. Primary success rate was 100%, with nil procedural morbidity and no early or late post-interventional complications observed. Postinterventionally, all patients underwent postinterventional abdominal X-ray studies and despite the radiologic presence of free intraabdominal air in some of them, no patient developed leakage or peritonitis. All patients underwent successful revisional bariatric surgery after a recovery interval of 12.4 ± 14.37 (3.0–65.0) months.

Conclusion: Endoscopic band removal is a safe alternative to laparoscopic band removal in a selected group of patients experiencing transgastric migration of an adjustable gastric banding.