[Incarceration of a calibrating band after vertical banded gastroplasty for morbid obesity: diagnostic and therapeutic implications].
About a case of migration of the strip of grading placed during a gastroplasty, and revealed by a severe complication on the occasion of the transformation of a typical Mason gastroplasty in Mac Lean gastroplasty, we formulate the following propositions: 1) The staple line dehiscence of Mason's vertical gastroplasty can be bound (connected) to an excessive tightening of the strip and let us suggest lengthening (stretching out) his 2 cm length with regard to the usually recommended dimension. 2) It is necessary to look for systematically this confinement, in case of reintervention for staple line dehiscence; to ignore it is to expose itself, if we transform the Mason surgery into Mac Lean surgery, to deteriorate a fistula which the staple line dehiscence had until then contributed to hide (darken).
Zarski
O
O
Service de Chirurgie Digestive, Hôpital de Bigorre, Tarbes.
Randrianasolo
S
S
Izard
G
G
D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery*; D015391:Gastroplasty / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery