Magyar Sebészet
Volume/Issue:
Volume 74: Issue 3

Arrodált gyomorgyűrűk kezelése – irodalmi áttekintés egy eset kapcsán

Authors:
Zsolt Baranyai I. sz. Sebészeti és Intervenciós Gasztroenterológiai Klinika, Semmelweis Egyetem, 1082 Budapest, Üllői út 78.

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Keresztély Merkel Szent Imre Kórház, Sebészeti Osztály, Budapest

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Miklós Horváth I. sz. Sebészeti és Intervenciós Gasztroenterológiai Klinika, Semmelweis Egyetem, 1082 Budapest, Üllői út 78.

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István Hritz I. sz. Sebészeti és Intervenciós Gasztroenterológiai Klinika, Semmelweis Egyetem, 1082 Budapest, Üllői út 78.

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Attila Szijártó I. sz. Sebészeti és Intervenciós Gasztroenterológiai Klinika, Semmelweis Egyetem, 1082 Budapest, Üllői út 78.

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Pages:
66–70
Online Publication Date:
25 Sep 2021
Publication Date:
30 Sep 2021
Article Category:
Case Report
DOI:
https://doi.org/10.1556/1046.74.2021.3.2
Keywords:
gastric band; penetration; complication
Open access

Összefoglaló. Bevezetés: 70 éves férfi beteg kóros kövérség (BMI: 50,1) miatt 2005-ben gyomorgyűrű beültetésben részesült. 2020 decemberében hasfali phlegmone hátterében igazolt port infekció miatt más intézetben subcutan incisió, lavage történt. CT-vizsgálattal, majd gasztroszkóppal a gyomorgyűrű arrosióját, intramurális elhelyezkedését igazoltuk. A műtét során laparoszkópos technikával a gyomor corpus nagygörbületén ejtett, kb. 2 cm nagyságú nyíláson keresztül távolítottuk el a gyűrűt. A beteg szövődménymentesen került emisszióra. Megbeszélés: Mintegy 20 évvel ezelőtt a laparoszkópos állítható gyomorgyűrű (LAGB) rendkívül népszerű volt. A LAGB azonban számtalan rövid és hosszú távú szövődménnyel jár, ezért egyre inkább kikerül a bariátriai sebészet tárházából. A gyűrű arrosiója ritka, súlyos szövődmény. Eltávolításának többféle módja lehet. A gyomorgyűrű eltávolítása általában a testsúly jelentős növekedésével jár. A betegeknél konverziós bariátriai műtétet, laparoszkópos gyomor sleeve reszekciót, vagy gyomor bypass műtétet lehet végezni.

Summary. Introduction: Extreme obese (BMI: 50.1) 70 year old male patient after LAGB procedure in 2005, with abdominal wall and port infection underwent subcutaneous incision drainage of the area in December 2020. CT and Gastroscopy confirmed gastric penetration and intramural position of the Band. Using laparoscopic approach with incision of 2 cm of the stomach at the gastric greater curvature the band had been removed. Patient had been discharged without any complications. Discussion: LAGB was a very popular bariatric approach at the first decade of laparoscopic bariatric surgery. The increased incidence of short and long term complications reduced worldwide the number of LAGB procedures. Band penetration is a rare but dangerous complication. Laparoscopic removal is recommended. Usually, the intervention is followed by significant weight gain which can be treated with conversion of LAGB to Sleeve Gastrectomy or LGBP procedure.

  • 1

    Collaborators GBDO, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, Marczak L, Mokdad AH, Moradi-Lakeh M: Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med 2017; 377: 13–27.

  • 2

    Flegal KM, Carroll MD, Kit BK, et al.: Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012; 307: 491–497.

  • 3

    De Pergola G, Silvestris F: Obesity as a major risk factor for cancer. J Obes 2013; 2013: 291546

  • 4

    Bende J: A súlyos fokú elhízás kezelése sebészi módszerekkel. Magy Tud 2011; 172(11): 1316–1321.

  • 5

    Weiss AL, Mooney A, Gonzalvo JP: Bariatric Surgery: The Future of Obesity Management in Adolescents. Adv Pediatr 2017; 64: 269–283.

  • 6

    Favretti F, Ashton D, Busetto L, et al.: The gastric band: first-choice procedure for obesity surgery. World J Surg 2009; 33: 2039–2048.

  • 7

    O’Brien PE, Brennan L, Laurie C, et al.: Intensive medical weight loss or laparoscopic adjustable gastric banding in the treatment of mild to moderate obesity: long-term follow-up of a prospective randomised trial. Obes Surg 2013; 23: 1345–1353.

  • 8

    Trujillo MR, Muller D, Widmer JD, et al.: Long-Term Follow-Up of Gastric Banding 10 Years and Beyond. Obes Surg 2016; 26: 581–587.

  • 9

    Owers C, Ackroyd R: A study examining the complications associated with gastric banding. Obes Surg 2013; 23: 56–59.

  • 10

    Suter M, Calmes JM, Paroz A, Giusti V: A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg 2006; 16: 829–835.

  • 11

    Kodner C, Hartman DR: Complications of adjustable gastric banding surgery for obesity. Am Fam Physician 2014; 89: 813–818.

  • 12

    Matlach J, Adolf D, Benedix F, et al.: Small-diameter bands lead to high complication rates in patients after laparoscopic adjustable gastric banding. Obes Surg 2011; 21: 448–456.

  • 13

    Ponce J, Fromm R, Paynter S.: Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilation. Surg Obes Relat Dis 2006; 2: 627–631.

  • 14

    Furbetta N, Gragnani F, Flauti G, et al.: Laparoscopic adjustable gastric banding on 3566 patients up to 20-year follow-up: Long-term results of a standardized technique. Surg Obes Relat Dis 2019; 15: 409–416.

  • 15

    Aarts EO, van Wageningen B, Berends F, et al.: Intragastric band erosion: experiences with gastrointestinal endoscopic removal. World J Gastroenterol 2015; 21: 1567–1572.

  • 16

    Egberts K, Brown WA, O’Brien PE: Systematic review of erosion after laparoscopic adjustable gastric banding. Obes Surg 2011; 21: 1272–1279.

  • 17

    Quadri P, Gonzalez-Heredia R, Masrur M, et al.: Management of laparoscopic adjustable gastric band erosion. Surg Endosc 2017; 31: 1505–1512.

  • 18

    Singhal R, Bryant C, Kitchen M, et al.: Band slippage and erosion after laparoscopic gastric banding: a meta-analysis. Surg Endosc 2010; 24: 2980–2986.

  • 19

    Abdelbaki TN, Abdelsalam WN, ElKayal S.: Management modalities in slipped gastric band. Surg Obes Relat Dis 2016; 12: 714–716.

  • 20

    Mozzi E, Lattuada E, Zappa MA, et al.: Treatment of band erosion: feasibility and safety of endoscopic band removal. Surg Endosc 2011; 25: 3918–3922.

  • 21

    Brown WA, Egberts KJ, Franke-Richard D, et al.: Erosions after laparoscopic adjustable gastric banding: diagnosis and management. Ann Surg 2013; 257: 1047–1052.

  • 22

    Chisholm J, Kitan N, Toouli J, et al.: Gastric band erosion in 63 cases: endoscopic removal and rebanding evaluated. Obes Surg 2011; 21: 1676–1681.

  • 23

    El-Hayek K, Timratana P, Brethauer SA, et al.: Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature. Surg Endosc 2013; 27: 2974–2979.

  • 24

    Rodarte-Shade M, Barrera GT, Arredondo JF, et al.: Hybrid technique for removal of eroded adjustable gastric band. JSLS 2013; 17: 338–341.

  • 25

    Basa NR, Dutson E, Lewis C, et al.: Laparoscopic transgastric removal of eroded adjustable band: a novel approach. Surg Obes Relat Dis 2008; 4: 194–197.

  • 26

    McCloskey CA.: Laparoscopic transgastric removal of an eroded gastric band. Surg Obes Relat Dis 2011; 7: 321–322.

  • 27

    Neto MP, Ramos AC, Campos JM, et al.: Endoscopic removal of eroded adjustable gastric band: lessons learned after 5 years and 78 cases. Surg Obes Relat Dis 2010; 6: 423–427.

  • 28

    Dogan UB, Dal MB.: An 8-Year Experience With Endoscopic Management of Eroded Gastric Bands. Surg Laparosc Endosc Percutan Tech 2015; 25: 140–144.

  • 29

    Spann MD, Aher CV, English WJ, et al.: Endoscopic management of erosion after banded bariatric procedures. Surg Obes Relat Dis 2017; 13: 1875–1879.

  • 30

    Karmali S, Sweeney JF, Yee K, et al.: Transgastric endoscopic rendezvous technique for removal of eroded Molina gastric band. Surg Obes Relat Dis 2008; 4: 559–562.

  • 31

    Fernando Santos B, Wallaert JB, Trus TL.: Band removal and conversion to sleeve or bypass: are they equally safe? Surg Endosc 2014; 28: 3086–3091.

  • 32

    Coblijn UK, Verveld CJ, van Wagensveld BA, et al.: Laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy as revisional procedure after adjustable gastric band – a systematic review. Obes Surg 2013; 23: 1899–1914.

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Editor(s)-in-Chief: Oláh, Attila

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  • DR. BÁLINT ANDRÁS
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Magyar Sebészet
Language Hungarian
Size A4
Year of
Foundation		 1947
Volumes
per Year		 1
Issues
per Year		 4
Founder Magyar Sebész Társaság -- Hungarian Surgical Society
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Address		 H-1082 Budapest, Hungary Üllői út 78.
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ISSN 0025-0295 (Print)
ISSN 1789-4301 (Online)

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