Laparoscopic inflatable band with Roux-en-Y gastric bypass.
BACKGROUND
Roux-en-Y gastric bypass (RYGBP) leaves a large blind gastric segment, which is inaccessible for conventional endoscopy.


METHODS
A case is reported, describing a variation of laparoscopic RYGBP by partitioning the stomach by an inflatable band rather than by stapling or division.


RESULTS
The stomach was partitioned into a proximal 15 cc pouch and a distal part by an adjustable gastric band. A RYGBP was fashioned from the proximal pouch. 9 patients were treated with this technique: 7 as an initial procedure and 2 after previous gastric banding which had been followed by insufficient weight loss. 1 of these latter patients developed erosion of the band through the gastrojejunostomy 7 months postoperatively.


CONCLUSIONS
Laparoscopic proximal RYGBP with inflatable-band gastric partitioning is feasible. Erosion of the band though the gastrojejunostomy, however, might be a serious side-effect of this technique.
Himpens
J M
JM
Department of Thoracic, Abdominal and Minimally Invasive Surgery, AZ St. Blasius Hospital, 50 Kroonveldlaan, Dendermonde 9200, Belgium. jacques_himpens@hotmail.com
Rogge
F
F
Leman
G
G
Sonneville
T
T
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D003287:Contrast Media; D003974:Diatrizoate Meglumine; D005240:Feasibility Studies; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D015391:Gastroplasty / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods*; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D007902:Length of Stay / Q000706:statistics & numerical data; D011182:Postoperative Care / Q000379:methods; D016896:Treatment Outcome; D015431:Weight Loss
D003287:Contrast Media; D003974:Diatrizoate Meglumine