Late complications of laparoscopic adjustable gastric banding (LAGB)‎ : Saudi Arabia experience

Abstract EN

Postoperative complications of laparoscopic adjustable gastric banding (LAGB) are not uncommon as reviewed from the literature.

The in-tra- operative complications such as bleeding, injury to the abdominal organs, or perforation of the stomach during dissection are usually obvious and can be managed immediately, while the late complications are usually discovered during the follow-up visits and need to be corrected soon, .e.g., food in¬tolerance, pouch dilatation, and stomach slippage as well as complications of the access port The present work describes the experience of the team to use the lap band covering a period from October 1995 to October 1997 by which 150 cases were done Five cases were done using the open method while 145 cases were performed laparoscopically.

Only one death had occurred (0.6 %) while 14 cases of gastric (stomach) slippage (9.6 %) and one case of access port rotation (0.6 %) were recorded.

The above three complications occurred exclusively in the laparoscopic group.

The gastric slippage was successfully corrected laparoscopically and the routed access port was re-adjusted through a small skin incision under local anaesthesia.