Nocca D, Frering V, Gallix B, de Seguin des Hons C, Noël P, Foulonge M A Pierredon, Millat B, Fabre J M
Centre Hospitalier Universitaire, Hôpital St Eloi, 2 Av Emile Bertin Sans, 34000 Montpellier, France.
Surg Endosc. 2005 Jul;19(7):947-50. doi: 10.1007/s00464-004-2183-6. Epub 2005 May 12.
Experience was gained management of intra-gastric migration of adjustable gastric banding.
From July 1996 to January 2003, 4236 patients who underwent laparoscopic adjustable gastric banding were proposed for routine follow-up. Gastrograms were performed in case of band adjustment. Radiological controls and endoscopy were performed according to symptoms.
A total of 45 cases of band migration (1.6%) were diagnosed during follow-up. All but one of the migrated bands were removed laparoscopically either by a dissection outside the stomach or through a short gastrotomy. Mortality was 0% and morbidity 8% (n = 4).
The risk of an intragastric band migration remains low in the literature but could grow on account of the longer follow-up of patients. The retrieval of the band is the gold standard and must be planned promptly or delayed according to symptoms.
获取了可调节胃束带胃内移位的管理经验。
1996年7月至2003年1月，对4236例行腹腔镜可调节胃束带术的患者进行常规随访。在进行束带调整时进行胃造影。根据症状进行放射学检查和内镜检查。
随访期间共诊断出45例束带移位（1.6%）。除1例移位束带外，其余均通过胃外剥离或短胃切开术经腹腔镜取出。死亡率为0%，发病率为8%（n = 4）。
胃内束带移位的风险在文献中仍然较低，但由于患者随访时间延长可能会增加。取出束带是金标准，必须根据症状及时或延迟进行计划。
