Cirugia y cirujanos · 2015
[Gastric band erosion: Alternative management].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Echaverry-Navarrete Denis José, Maldonado-Vázquez Angélica, Cortes-Romano Pablo, Cabrera-Jardines Ricardo, Mondragón-Pinzón Erwin Eduardo, Castillo-González Federico Armando
Аннотация
BACKGROUND: Obesity is a public health problem, for which the prevalence has increased worldwide at an alarming rate, affecting 1.7 billion people in the world.
OBJECTIVE: To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible.
MATERIAL AND METHODS: Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula.
CLINICAL CASES: The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously.
DISCUSSION: Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure.
CONCLUSIONS: Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.
OBJECTIVE: To describe the technique employed in incomplete penetration of gastric band where endoscopic management and/or primary closure is not feasible.
MATERIAL AND METHODS: Laparoscopic removal of gastric band was performed in five patients with incomplete penetrance using Foley catheterization in the perforation site that could lead to the development of a gastro-cutaneous fistula.
CLINICAL CASES: The cases presented include a leak that required surgical lavage with satisfactory outcome, and one patient developed stenosis 3 years after surgical management, which was resolved endoscopically. In all cases, the penetration site closed spontaneously.
DISCUSSION: Gastric band erosion has been reported in 3.4% of cases. The reason for inserting a catheter is to create a controlled gastro-cutaneous fistula, allowing spontaneous closure.
CONCLUSIONS: Various techniques have been described: the totally endoscopic, hybrid techniques (endoscopic/laparoscopic) and completely laparoscopic. A technique is described here that is useful and successful in cases where the above-described treatments are not viable.