A new surgical technique for the silicone gastric band in the presence of a large hiatus hernia.
BACKGROUND
The purpose of this study was to establish the efficacy of a new surgical technique for the placement of the silicone gastric band (LAP-Band) in the presence of a large (>5 cm) hiatus hernia.


METHODS
Hiatus hernias >5 cm were identified by endoscopy and barium meal in 6 patients. Each patient underwent hiatal hernia repair and attempted gastrodesis with laparoscopic placement of a gastric band.


RESULTS
At 6 months, there were no complications. Mean weight loss was 16 kg.


CONCLUSIONS
Repair of hiatus hernia with hiatal repair and gastrodesis of the posterior aspect of the stomach may allow some patients to undergo a procedure previously considered contraindicated.
Anderson
P G
PG
The Vales Private Hospital, Adelaide, South Australia, Australia.
Watson
D I
DI
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods*; D006551:Hernia, Hiatal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012828:Silicones; D016896:Treatment Outcome
D012828:Silicones