ArticleObesity surgery2009
Reducing band slippage in laparoscopic adjustable gastric banding: the mesh plication pars flaccida technique.
Article in Obesity surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Band slippage and erosion after laparoscopic gastric banding: a meta-analysis.Surgical endoscopy · 2010Pooled it
- Endoscopic Gastric Band Removal.Journal of clinical medicine · 2023Article
- Article
- An Exploratory Study: A Head-to-Head Comparison of the EQ-5D-5L and AQoL-8D for Long-Term Publicly Waitlisted Bariatric Surgery Patients Before and 3 Months After Bariatric Surgery.PharmacoEconomics - open · 2018Article
- Management of Slipped Gastric Bands via Creation of a De Novo Tunnel and Band Replacement: a Single-Centre Experience.Obesity surgery · 2018Article
- An Exploratory Study of Long-Term Publicly Waitlisted Bariatric Surgery Patients' Quality of Life Before and 1 Year After Bariatric Surgery, and Considerations for Healthcare Planners.PharmacoEconomics - open · 2018Article
- Slippage-a Significant Problem Following Gastric Banding-a Single Centre Experience.Obesity surgery · 2017Article
- Medium-Term Results of Combined Laparoscopic Sleeve Gastrectomy and Modified Jejuno-Ileal Bypass in Bariatric Surgery.Obesity surgery · 2016Article
- Laparoscopic Adjustable Gastric Band Slippage Rates Following Laparoscopic Gastric Band Insertion: a Single Centre Experience.Obesity surgery · 2016Article
- Clinical Outcomes of Metabolic Surgery: Efficacy of Glycemic Control, Weight Loss, and Remission of Diabetes.Diabetes care · 2016 · on this mapArticle
- Older adults fighting obesity with bariatric surgery: Benefits, side effects, and outcomes.SAGE open medicine · 2014Article
- Bariatric surgery: the challenges with candidate selection, individualizing treatment and clinical outcomes.BMC medicine · 2013Review
- Evolving pattern of laparoscopic gastric band access port complications.Obesity surgery · 2012Article
- The reporting of gastric band slip and related complications; a review of the literature.Obesity surgery · 2011Review
- [Bariatric surgery and associated complications: radiological imaging].Der Radiologe · 2011Review
- Imaging in bariatric surgery: service set-up, post-operative anatomy and complications.The British journal of radiology · 2011Review
- Gastric plication can reduce slippage rate after laparoscopic gastric banding.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Gastric prolapse with pseudocysts following laparoscopic adjustable gastric banding.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBand slippage is a significant complication of laparoscopic adjustable gastric band (LAGB) surgery for the treatment of morbid obesity. This involves prolapse of part of the stomach, with varying degrees of gastric obstruction. The original perigastric technique (PGT) was associated with slippage rates of up to 25%. The pars flaccida technique (PFT) is the more commonly used technique today, reducing slippage rates to as low as 1.4%. We report a technique not previously described, the modified PFT with the use of mesh, and compare slippage rates between these three techniques for band placement.
methodsA prospectively entered, retrospective review of 1,446 consecutive patients undergoing LAGB by a single surgeon was undertaken. Patients were divided into five consecutive groups: PGT learning curve (PGTLC) (n = 68), PGT (n = 19), mesh PFT (MPFT) (n = 415), mesh plication PFT (MPPFT) (n = 131), and MPPFT with inadequate follow-up (n = 813). Patient characteristics, band slippage, and other complication rates were compared between groups.
resultsThe slippage rates for each group were: PGTLC (10%), PGT (5%), MPFT (0.8%), and MPPFT (0%). This demonstrated a statistically significant difference between the slippage rates for each group (p < 0.001). Combining the MPFT and MPPFT groups, there was a statistically significant difference in band slippage compared to the PGT group (p < 0.001).
conclusionWhile the MPFT is associated with low band slippage rates, the MPPFT results in further reductions in band slippage. The routine use of this modification to the MPFT is safe and may reduce operative morbidity. A randomized comparison of these techniques is warranted.
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