Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide

Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide

PDF

Iyad Eid, MD, MRCS*; Daniel W. Birch, MSc, MD*; Arya M. Sharma, MD†; Vadim Sherman, MD‡; Shahzeer Karmali, MD*

From the *Centre for Advancement of Minimally Invasive Surgery, Department of Surgery, Division of General Surgery, the †Department of Medicine, University of Alberta, Edmonton, Alta., and the ‡Michael E. DeBakey Department of Surgery, Division of General Surgery, Baylor College of Medicine, Houston, Texas

Abstract

Laparoscopic adjustable gastric banding (LAGB) is considered to be a safe and effective method of weight loss and reduction of comorbidities associated with obesity. Despite its improved early safety profile compared with Roux-en-Y gastric bypass, patients with LAGB can manifest unique complications that must be recognized and managed appropriately to achieve good outcomes. This review will prepare the general surgeon to identify, diagnose and manage the common complications encountered in patients presenting following LAGB.

Résumé

On considère que le cerclage gastrique laparoscopique par anneau modulable constitue une méthode sûre et efficace pour la perte de poids et la réduction des comorbidités associées à l’obésité. Malgré son profil d’innocuité précoce amélioré comparativement à la dérivation gastrique de Roux-en-Y, les patients soumis à un cerclage gastrique peuvent présenter des complications particulières qu’il faut savoir reconnaître et corriger de manière appropriée pour obtenir de bons résultats. La présente synthèse préparera le chirurgien général à reconnaître, diagnostiquer et traiter les complications courantes chez les patients qui consultent après un cerclage gastrique laparoscopique.


Accepted for publication June 16, 2009

Competing interests: None declared for Drs. Eid, Birch, Sherman and Karmali. Dr. Sharma declares having received a speaker’s honorarium from Allergan.

Contributors: All authors designed the review, reviewed the article and approved its publication. Drs. Birch and Karmali acquired the data, which Drs. Eid, Birch, Sharma and Karmali analyzed.

DOI: 10.1503/cjs.015709

Correspondence to: Dr. S. Karmali, Assistant Professor of Surgery, 405 CSC 10240 Kingsway Ave., Edmonton AB T5H 3V9 shahzeer@ualberta.ca