The clinical spectrum of band @entity2681 following laparoscopic adjustable silicone gastric banding for morbid XXXX .

@entity1 @entity3117 @entity28 @entity298 @entity2681 @entity1017 @entity356
BACKGROUND: Morbid @entity28 is effectively treated by restrictive surgery. A severe complication associated with gastric banding is @entity356 . We review here our experience over a 5-year period. METHODS: A total of 1496 @entity1 underwent gastric banding. Eighty-five percent of @entity1 were available for follow-up. When band @entity2681 was diagnosed, laparoscopic removal was performed. RESULTS: Band @entity2681 was identified in 17 @entity1 (1.13%). The time from primary operation to diagnosis of band @entity2681 ranged from 3 weeks to 45 months (mean, 19 months). Clinical manifestations included @entity1017 in 2 (11.6%), band system leak in 1 (5.8%), chronic port-cutaneous fistula in 2 (11.6%), neglected @entity298 in 1 (5.8%), left @entity3117 in 2 (11.6%), but most commonly, protracted port-site infection that occurred in 7 @entity1 (40.6%). CONCLUSIONS: @entity1 were effectively treated by band removal and suturing of the stomach wall. We suggest that different pathologies contribute to the same complication depending upon the time of presentation. We recommend a high index of suspicion in order to diagnose this life-threatening complication.
