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

Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Dr. MojtabaHashemzadeh

Dr. Leila Zahedi-Shoolami

Dr. MahmoudKaramiRad

2012, May 9th


Definition of obesity

Definition of Obesity

  • BMI ≥ 30

  • Excess weight more than 20% of Ideal Body Weight


Epidemiology of obesity

Epidemiology of Obesity

Worldwide

Iran

WHO report 2011

Overweight 51.4%

Obese 19.4%

WHO report 2010

35% of the world population


Case selection

Case Selection


Gastric banding benefits

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

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

Demographic Data


Outcome of comorbidities

Outcome of Comorbidities


Early gastric banding complications

Early Gastric Banding Complications

  • Bleeding

  • Perforation


Late gastric banding complications

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

Complications


Comparison of the complications between the patients with bmi 40 kg m 2 and bmi 40 kg m 2

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


Port infection

Port Infection


Slippage

Slippage


Prolapse

Prolapse


Erosion

Erosion


Opening of the gastric band clips x ray

Opening of the gastric band clips (X-Ray)


Opening of the gastric band clips

Opening of the gastric band clips


Replacing the gastric band

Replacing the Gastric Band


Complications associated with laparoscopic adjustable gastric banding for morbid obesity

Before LAGB

After LAGB


What to do in order to decrease the complication rate

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

“Thank you for your attention”


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