[A possible late complication of Mason's vertical gastroplasty: the erosion of the vertical band].
OBJECTIVE
To evaluate possible adverse consequences and complications following the procedure of Mason-McLeans Vertical Banded Gastroplasty (VBG), and in those cases the possibility to be related to a surgical mistake.


METHODS
It is based on a casuistic of more than 180 patients, submitted to this restrictive bariatric surgery in the same institution since 2001. Controls of the prescribed postop follow up revealed a very low rate of complications, as only in three cases, all of them with spontaneous presentation, there was a complication related to the banding.


RESULTS
All the observed complications were related to a late postoperative inadequate alimentation for excess of meals, after the immediate orthodox behaviour of the first months.


CONCLUSIONS
From the comparative evaluation of all the patients submitted to the Mason-McLean procedure it seems of the utmost evidence the importance of a correct alimentation, mainly to the low bulk of the single meal, to avoid complications and obtain the best EWL%.


CONCLUSIONS
Adherence to the guidelines for the post op alimentation in such patients is the key to obtain the best results from the operation avoiding the side effects and complications here described.
Rea
Teresa
T
Università degli Studi Gabriele d'Annunzio di Chieti, Cattedra di Chirurgia Generale II, Divisione Clinica di Chirurgia Generale, Chieti. rea.teresa@virgilio.it
Sigismondi
Gianni
G
Di Paolo
Sonia
S
Mitri
Francesca
F
Manika
Caterina
C
Fiordaliso
Michele
M
Picardi
Nicola
N
D000293:Adolescent; D000328:Adult; D004435:Eating; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology*; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods*; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome