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Evolving pattern of laparoscopic gastric band access port complications

Citation

Tog, CH and Halliday, J and Khor, Y and Yong, T and Wilkinson, Stephen, Evolving pattern of laparoscopic gastric band access port complications, Obesity Surgery, 22, (6) pp. 863-865. ISSN 0960-8923 (2012) [Contribution to Refereed Journal]


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DOI: doi:10.1007/s11695-011-0567-y

Abstract

Laparoscopic gastric banding (LGB) is the commonest bariatric procedure in Australia. The commonest complication of LGB is access port or tubing (AP/T) problems, requiring revisional surgery. The aim of this study was to document the evolving pattern of AP/T complications. All patients whose LGB procedure (AllerganTM Bands) and AP/T revision (AllerganTM port revision sets) were performed by one surgeon (1999 to 2008) were included, giving 167 AP/T revisions in 124 patients out of a total 1,928 LGB patients. All patient follow-up details were prospectively recorded and retrospectively analysed. Incidence of LGB AP/T problems was 8.7%. Mean time to first AP/T revision was 2 years. Over the last 4 years of the series, the number of LGB insertions was constant, but the number of AP/T revisions progressively increased. Twenty-seven percent of AP/T revision patients required two or more AP/T revisions. Sixty-two percent of the AP/T complications were leaks. Half the AP complications were flipping of the AP. There was no correlation of AP/T problems with any changes to port design to date. Infection rate for LGB insertion was 0.67%. The incidence of LGB AP/T complications progressively increases with duration after LGB insertion. Occurrence of one AP/T problem appears to select a subgroup more likely to experience further AP/T problems. To date, revisions of port design do not appear to have solved AP/T problems. Recent introduction of a significantly redesigned port may reduce AP/T failures.

Item Details

Item Type:Contribution to Refereed Journal
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Gastroenterology and Hepatology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Digestive System Disorders
Author:Wilkinson, Stephen (Dr Stephen Wilkinson)
ID Code:85000
Year Published:2012
Web of Science® Times Cited:5
Deposited By:Medicine (Discipline)
Deposited On:2013-06-11
Last Modified:2013-06-18
Downloads:0

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