Alternative technique for creation of a proximal gastric pouch in laparoscopic adjustable silicone gastric banding.
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.
Cardon
A
A
Department of General and Digestive Surgery, University Hospital Ghent, Belgium. anne.cardon@online.be
Berrevoet
F
F
Pattyn
P
P
Hesse
U
U
de Hemptinne
B
B
D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009767:Obesity, Morbid / Q000601:surgery*; D012826:Silicone Elastomers
D012826:Silicone Elastomers