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Access-Port Complications After Laparoscopic Gastric Banding

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Access-Port Complications After Laparoscopic Gastric Banding to Reduce Obesity

The aim of this retrospective study was to identify complications related to the access-port, after Lap-Band system placement by laparoscopy.

Method

The records of 333 morbidly obese patients who underwent laparoscopic adjustable gastric banding (LAGB) were reviewed for the overall surgical complications. Data was further analyzed regarding the complications related to the access-port.

Results

From January 1999 to December 2001, the overall complication-rate with the laparoscopic adjustable gastric banding was 25.8%. 45 complications (13.5%) were related to the access-port in 34 patients following laparoscopic adjustable gastric banding placement. The 45 access-port complications were distributed as follows: infection 51.1%, tubing disconnection 17.7%, dislodgment of the access-port 15.6%, leak of the reservoir 11.1%, and skin ulceration by the port 4.45%.

Conclusion

The integrity of the Lap-Band system is essential to achieve the objective of the operation: weight loss. Complications related to the access-port were relatively frequent, but preventable.

Authors:
Susmallian S, Ezri T, Elis M, Charuzi I. Department of Surgery B, Wolfson Medical Center, Holon, affiliated with Sackler School of Medicine, Tel Aviv, Israel.

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources