title: Alternative technique for creation of a proximal gastric pouch in laparoscopic adjustable silicone gastric banding.
abstract: BACKGROUND
  Laparoscopic adjustable silicone gastric banding (LASGB) has become a widely used procedure for the treatment of morbid obesity. The original operation, as described by Kuzmak, has been subjected to modifications. Construction of a proximal gastric pouch is an important part of the operation. Until now, we used the technique of Niville. Since this was often complicated by gastric bleeding and/or serosal tears, we developed a new technique to construct a pouch.
  
  
  METHODS
  A new technique, using a thread previously fixed to that portion of the fundus that will be used to construct the pouch, is described.
  
  
  CONCLUSIONS
  A safe and easy adaptation of the LASGB technique is proposed to create the gastric pouch.
authors.affiliation: Department of General and Digestive Surgery, University Hospital Ghent, Belgium. anne.cardon@online.be
authors.forename: A
authors.initials: A
authors.lastname: Cardon
authors.forename: F
authors.initials: F
authors.lastname: Berrevoet
authors.forename: P
authors.initials: P
authors.lastname: Pattyn
authors.forename: U
authors.initials: U
authors.lastname: Hesse
authors.forename: B
authors.initials: B
authors.lastname: de Hemptinne
mesh_terms: D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009767:Obesity, Morbid / Q000601:surgery*; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers