Abstract
Background: The aim of this study was to Identify factors which allow a reliable, standardized and simplified approach for the radiologic follow-up of obese patients who have undergone surgery for laparoscopic adjustable gastric banding (LAGB) placement. Methods: A study was made of 370 consecutive single-contrast upper gastrointestinal series in 159 consecutive patients (122 women, 31 men; mean age 40.6 years; mean body weight 135.8 kg) who had undergone LAGB for morbid obesity and were symptomatic or had inadequate weight loss.The control group consisted of 38 subjects who had undergone LAGB, had satisfactory weight loss and were asymptomatic at follow-up. Results: Each gastric portion above the band was satisfactorily evaluated by measuring its vertical diameter. The optimal projection for measurement of stoma size was predicted before administration of the contrast agent and was achieved when the band was visualized in profile. The clinical pictures were not always related to stoma size. Surgical complications were gastric herniation (8 patients, twice in 1 patient, 5.7%), malpositioned band (1 patient, 1.6%), port twisting (13 patients, 8.2%), and disconnection or leakage of the device (8 patients, 5.0%). Conclusion: Essential criteria for the radiologic evaluation of LAGB are: position of port and tubing; stoma size; and volume of each upper gastric portion.
| Original language | English |
|---|---|
| Pages (from-to) | 901-908 |
| Number of pages | 8 |
| Journal | Obesity Surgery |
| Volume | 13 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Dec 2003 |
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Keywords
- Bariatric surgery
- Gastric banding
- Laparoscopic surgery
- Morbid obesity
- Radiology
ASJC Scopus subject areas
- Surgery
Cite this
Radiology for Laparoscopic Adjustable Gastric Banding : A Simplified Follow-up Examination Method. / Pomerri, Fabio; De Marchi, Francesco; Barbiero, Giulio; Di Maggio, Antonio; Zavarella, Cristina.
In: Obesity Surgery, Vol. 13, No. 6, 12.2003, p. 901-908.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Radiology for Laparoscopic Adjustable Gastric Banding
T2 - A Simplified Follow-up Examination Method
AU - Pomerri, Fabio
AU - De Marchi, Francesco
AU - Barbiero, Giulio
AU - Di Maggio, Antonio
AU - Zavarella, Cristina
PY - 2003/12
Y1 - 2003/12
N2 - Background: The aim of this study was to Identify factors which allow a reliable, standardized and simplified approach for the radiologic follow-up of obese patients who have undergone surgery for laparoscopic adjustable gastric banding (LAGB) placement. Methods: A study was made of 370 consecutive single-contrast upper gastrointestinal series in 159 consecutive patients (122 women, 31 men; mean age 40.6 years; mean body weight 135.8 kg) who had undergone LAGB for morbid obesity and were symptomatic or had inadequate weight loss.The control group consisted of 38 subjects who had undergone LAGB, had satisfactory weight loss and were asymptomatic at follow-up. Results: Each gastric portion above the band was satisfactorily evaluated by measuring its vertical diameter. The optimal projection for measurement of stoma size was predicted before administration of the contrast agent and was achieved when the band was visualized in profile. The clinical pictures were not always related to stoma size. Surgical complications were gastric herniation (8 patients, twice in 1 patient, 5.7%), malpositioned band (1 patient, 1.6%), port twisting (13 patients, 8.2%), and disconnection or leakage of the device (8 patients, 5.0%). Conclusion: Essential criteria for the radiologic evaluation of LAGB are: position of port and tubing; stoma size; and volume of each upper gastric portion.
AB - Background: The aim of this study was to Identify factors which allow a reliable, standardized and simplified approach for the radiologic follow-up of obese patients who have undergone surgery for laparoscopic adjustable gastric banding (LAGB) placement. Methods: A study was made of 370 consecutive single-contrast upper gastrointestinal series in 159 consecutive patients (122 women, 31 men; mean age 40.6 years; mean body weight 135.8 kg) who had undergone LAGB for morbid obesity and were symptomatic or had inadequate weight loss.The control group consisted of 38 subjects who had undergone LAGB, had satisfactory weight loss and were asymptomatic at follow-up. Results: Each gastric portion above the band was satisfactorily evaluated by measuring its vertical diameter. The optimal projection for measurement of stoma size was predicted before administration of the contrast agent and was achieved when the band was visualized in profile. The clinical pictures were not always related to stoma size. Surgical complications were gastric herniation (8 patients, twice in 1 patient, 5.7%), malpositioned band (1 patient, 1.6%), port twisting (13 patients, 8.2%), and disconnection or leakage of the device (8 patients, 5.0%). Conclusion: Essential criteria for the radiologic evaluation of LAGB are: position of port and tubing; stoma size; and volume of each upper gastric portion.
KW - Bariatric surgery
KW - Gastric banding
KW - Laparoscopic surgery
KW - Morbid obesity
KW - Radiology
UR - http://www.scopus.com/inward/record.url?scp=0346887079&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0346887079&partnerID=8YFLogxK
U2 - 10.1381/096089203322618740
DO - 10.1381/096089203322618740
M3 - Article
VL - 13
SP - 901
EP - 908
JO - Obesity Surgery
JF - Obesity Surgery
SN - 0960-8923
IS - 6
ER -