Gut Liver.  2017 Jul;11(4):497-503. 10.5009/gnl16089.

Endoscopic Treatment of Diverse Complications Caused by Laparoscopic Adjustable Gastric Banding: A Study in Eastern Asia

• Kim SY
• Oh KY
• Chung JW
• Kim YJ
• Kim KO
• Kwon KA
• Park DK
• Kim KK
• Kim SM

• KMID: 2412229
• DOI: http://doi.org/10.5009/gnl16089

Abstract

BACKGROUND/AIMS
The use of laparoscopic adjustable gastric banding (LAGB) is increasing proportionally with the obesity epidemic. However, some postoperative complications have been highlighted as major problems associated with LAGB. There is no consensus concerning the endoscopic management of these adverse events. The aim of this study was to retrospectively review the feasibility and effectiveness of endoscopic treatment for LAGB complications.
METHODS
We retrospectively evaluated 352 patients who underwent LAGB between 2011 and 2015. LAGB-associated complications developed in 26 patients (7.4%). This study involved six patients (1.7%) who received endoscopic treatment.
RESULTS
Types of LAGB-induced complications in our series included intragastric migration (n=3), gastric leaks (n=2), and gastric fistulas (n=1). The endoscopic treatment of these complications was successful in four of the six patients. Endoscopic band removal was successful in two patients. All gastric leaks were successfully closed via an endoscopic procedure. In two cases (intragastric migration and gastric fistula), endoscopic treatment was not sufficient, and surgery was performed.
CONCLUSIONS
Endoscopic procedures afforded acceptable treatment of band migration and gastric leaks after LAGB. However, the results were poor in patients with gastric fistula.

Keyword

Endoscopy; Bariatric surgery; Complication

MeSH Terms

Adult
Far East
Feasibility Studies
Female
Gastric Bypass/*adverse effects/methods
Gastroscopy/*methods
Humans
Laparoscopy/*adverse effects/methods
Middle Aged
Obesity/*surgery
Postoperative Complications/etiology/*surgery
Retrospective Studies
Treatment Outcome
Young Adult