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Radiological Imaging to Detect Complications After Laparoscopic Gastric Banding

Radiological Controls After Obesity Surgery For Management of Post-Operative Weight Loss

Bariatric Surgery - Bariatric Research Studies

Value of Radiological Imaging After Laparoscopic Gastric Banding

Over the past years "laparoscopic gastric banding" has evolved to one of the leading surgical techniques for the treatment of patients with morbid obesity. Mainly two systems are used worldwide; the "LAP BAND" (ASGB--Adjustable Silicone Gastric Banding) and the "Swedish Band" (SAGB--Swedish Adjustable Gastric Banding) which may both be implanted laparoscopically around the proximal stomach at a suprabursal position, about 2 cm distally to the cardia, with the intention to create a small pouch and, therefore, to provide an earlier satiation. Both systems show only minor differences regarding their consistency and their opacity as well as regarding the volume of the system. However, the working mechanisms and the principal techniques of surgical implantation, luminal adjustment and management of postoperative weight loss as well as the way how to perform radiological controls in these patients are quite similar in both systems.

Although these patients might be managed postoperatively by the clinicians alone, it has become well accepted over the past years that radiological controls are not only important for an exact luminal adjustment but crucial for the management of an ideal postoperative weight loss and for the detection of various post-operative complications. This article describes the radiographic appearances of both systems, instructs how to perform postoperative radiological controls in these patients and provides an overview of the known postoperative complications together with some recommendations regarding their therapeutic approach.

Source:
Wiesner W. Institut fur Diagnostische Radiologie, Universitatsspital Basel. 2002

Bariatric Surgery
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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