Port complications following laparoscopic adjustable gastric banding for morbid obesity

Andrei Keidar, Einat Carmon, Amir Szold, Subhi Abu-Abeid

Research output: Contribution to journalArticlepeer-review

70 Scopus citations

Abstract

Background: Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, and the optimal technique of port implantation and management has not been elucidated. Methods: All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed. Results: 1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient. Conclusion: Access-port complications after the Lap-Band® procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications.

Original languageEnglish
Pages (from-to)361-365
Number of pages5
JournalObesity Surgery
Volume15
Issue number3
DOIs
StatePublished - 1 Mar 2005
Externally publishedYes

Keywords

  • Access port complications
  • Gastric banding
  • Laparoscopy
  • Morbid obesity

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Fingerprint

Dive into the research topics of 'Port complications following laparoscopic adjustable gastric banding for morbid obesity'. Together they form a unique fingerprint.

Cite this