Migration of adjustable gastric banding from a cohort study of 4236 patients.
BACKGROUND
Experience was gained management of intra-gastric migration of adjustable gastric banding.


METHODS
From July 1996 to January 2003, 4236 patients who underwent laparoscopic adjustable gastric banding were proposed for routine follow-up. Gastrograms were performed in case of band adjustment. Radiological controls and endoscopy were performed according to symptoms.


RESULTS
A total of 45 cases of band migration (1.6%) were diagnosed during follow-up. All but one of the migrated bands were removed laparoscopically either by a dissection outside the stomach or through a short gastrotomy. Mortality was 0% and morbidity 8% (n = 4).


CONCLUSIONS
The risk of an intragastric band migration remains low in the literature but could grow on account of the longer follow-up of patients. The retrieval of the band is the gold standard and must be planned promptly or delayed according to symptoms.
Nocca
D
D
Centre Hospitalier Universitaire, Hôpital St Eloi, 2 Av Emile Bertin Sans, 34000 Montpellier, France.
Frering
V
V
Gallix
B
B
de Seguin des Hons
C
C
Noël
P
P
Foulonge
M A Pierredon
MA
Millat
B
B
Fabre
J M
JM
D000293:Adolescent; D000328:Adult; D005548:Foreign-Body Migration / Q000453:epidemiology*; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery