Background: The higher incidence of complications and re- operation early in Lap-Band® experience has been considered by some the Achilles’ heel of this operation. The trend of the most common surgical complications in patients operated with the Lap-Band® over the years is analyzed. Methods: Complications of patients operated in 27 centers between January 1996 and June 2002 were analyzed. Mortality, gastric pouch dilation, tube-port failure, intra-gastric migration and revision operation were related to the year of Lap-Band® placement. Minimum patient follow-up is 1 year. Results: 3,355 patients were eligible. Mean mortality rate was 0.41% with a similar trend over the years, while complications and re-operation have decreased (Table). Conclusions: Factors aiding the progress of Lap-Band® surgery over the years are surgical technique improvement, system manufacturing evolution, and appropriate postoperative management.
Angrisani, L., Favretti, F., Furbetta, F., Luppa, A., Doldi, S.B., Paganelli, M., et al. (2004). Laparoscopic gastric banding: Complications trend of the Italian experience during the last years. OBESITY SURGERY, 14, 466-467.
Laparoscopic gastric banding: Complications trend of the Italian experience during the last years
Capizzi, FD;Bernante, P;
2004
Abstract
Background: The higher incidence of complications and re- operation early in Lap-Band® experience has been considered by some the Achilles’ heel of this operation. The trend of the most common surgical complications in patients operated with the Lap-Band® over the years is analyzed. Methods: Complications of patients operated in 27 centers between January 1996 and June 2002 were analyzed. Mortality, gastric pouch dilation, tube-port failure, intra-gastric migration and revision operation were related to the year of Lap-Band® placement. Minimum patient follow-up is 1 year. Results: 3,355 patients were eligible. Mean mortality rate was 0.41% with a similar trend over the years, while complications and re-operation have decreased (Table). Conclusions: Factors aiding the progress of Lap-Band® surgery over the years are surgical technique improvement, system manufacturing evolution, and appropriate postoperative management.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
