[A new technique for laparoscopic placement of the adjustable gastric band (LAP-band) for preventing slippage]

Author: Weiner R, Wagner D, Blanco-Engert R, Bockhorn H

Author affiliation: Chirurgische Klinik, Krankenhauses Nordwest Frankfurt/Main. R.Weiner@em.uni-frankfurt.de

Publication date & source: 2000.10, Chirurg., 71(10):1243-50.

Publication type: Clinical Trial; Comparative Study ; English Abstract; Randomized Controlled Trial

BACKGROUND: Slippage (SP) of the stomach is the most common postoperative complication after laparoscopic adjustable silicone gastric banding (LAS-GB) for morbid obesity. METHODS AND PATIENTS: A randomized prospective study was constructed in order to determine whether laparoscopic placement behind the cardia (RKP) is associated with a lower incidence of postoperative SP and pouch dilation than after a retrogastric placement (RGP) of the LAP band using a common technique. Morbidly obese patients presenting for LASGB were randomized to undergo either an RKP (n = 50) or an RGP (n = 51). RESULTS: There were three postoperative SP and three pouch dilations in the RGP group versus no postoperative complication in the RKP group. CONCLUSIONS: The placement of LAP band by the RKP technique is safe and followed by a lower frequency of postoperative complications than with the RGP technique. Clear anatomical landmarks are a benefit to the education and learning curve of LASGB.