Complications associated with laparoscopic adjustable gastric banding for morbid obesity
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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity. Dr. Mojtaba Hashemzadeh Dr. Leila Zahedi-Shoolami Dr. Mahmoud KaramiRad. 2012, May 9 th. Definition of Obesity. BMI ≥ 30 Excess weight more than 20% of Ideal Body Weight. Epidemiology of Obesity.

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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Dr. MojtabaHashemzadeh

Dr. Leila Zahedi-Shoolami

Dr. MahmoudKaramiRad

2012, May 9th


Definition of Obesity

  • BMI ≥ 30

  • Excess weight more than 20% of Ideal Body Weight


Epidemiology of Obesity

Worldwide

Iran

WHO report 2011

Overweight 51.4%

Obese 19.4%

WHO report 2010

35% of the world population


Case Selection


Gastric Banding Benefits

  • Performed through Laparoscopy

  • Short surgery duration

  • Short clinic stay

  • Being adjustable

  • Safe with low complication rate

  • The most favorable technique for obesity treatment in the United States


Methods & Patients

  • Time: January 2005 - February 2012

  • Setting: A single private setting in Tehran, Iran

  • Sample Size:165 obese patients with BMI between 32 and 50 kg/m2


Demographic Data


Outcome of Comorbidities


Early Gastric Banding Complications

  • Bleeding

  • Perforation


Late Gastric Banding Complications

  • Port Infection

    • Prior to adjusting (< 1 month):

      • Sterility problems

    • Post adjusting (> 1 month):

      • Erosion

      • Unsterile injection

  • Slippage

  • Erosion

  • Opening of the gastric band clips

  • Pouch Enlargement

  • Acute obstruction due to band connection tube


Complications


Comparison of the complications between the patients with BMI < 40 kg/m2 and BMI ≥ 40 kg/m2


Port Infection


Slippage


Prolapse


Erosion


Opening of the gastric band clips (X-Ray)


Opening of the gastric band clips


Replacing the Gastric Band


Before LAGB

After LAGB


What to do in order to decrease the complication rate?

  • Proper case-selection

  • Considering the sterility principles

  • Changing eating habits in patients

  • Avoiding vomiting


“Thank you for your attention”


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