The contribution of gastric emptying scintigraphy to the treatment of obesity with gastric bandage--preliminary results.
BACKGROUND
Gastric banding for morbid obesity is among the least mutilating of procedures used in bariatric surgery and is classified as a restrictive surgical method. Although it is widespread, so far, however the mechanism responsible has not been fully explained.


RESULTS
The authors present the preliminary results from scintigraphic examination of the evacuation ability of the stomach using food labeled with (99m)Tc-colloid in six obese patients with a gastric bandage. This initial study showed that the functionality of the bandage demonstrated as a significant drop in body weight, is connected with slower evacuation of the stomach. However, the use of adjustable bandages would have significantly slowed and restricted the passage of food through the cardia of the stomach.


CONCLUSIONS
Since it can be extremely difficult to adequately objectively determine the functionality of gastric bandages, evaluating the gastric emptying scintigraphy may be useful in fulfilling this purpose.
Hladik
Pavel
P
Department of Surgery, Faculty Hospital and Faculty of Medicine, Hradec Kralove, Czech Republic. hladik.pav@gmail.com
Vizda
Jaroslav
J
Mala
Eva
E
Zadak
Zdenek
Z
Hroch
Tomas
T
D000328:Adult; D005746:Gastric Emptying; D015391:Gastroplasty; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011877:Radionuclide Imaging; D013270:Stomach / Q000000981:diagnostic imaging*; D015431:Weight Loss