title: [A possible late complication of Mason's vertical gastroplasty: the erosion of the vertical band].
abstract: 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.
authors.affiliation: Università degli Studi Gabriele d'Annunzio di Chieti, Cattedra di Chirurgia Generale II, Divisione Clinica di Chirurgia Generale, Chieti. rea.teresa@virgilio.it
authors.forename: Teresa
authors.initials: T
authors.lastname: Rea
authors.forename: Gianni
authors.initials: G
authors.lastname: Sigismondi
authors.forename: Sonia
authors.initials: S
authors.lastname: Di Paolo
authors.forename: Francesca
authors.initials: F
authors.lastname: Mitri
authors.forename: Caterina
authors.initials: C
authors.lastname: Manika
authors.forename: Michele
authors.initials: M
authors.lastname: Fiordaliso
authors.forename: Nicola
authors.initials: N
authors.lastname: Picardi
mesh_terms: 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