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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer-Verlag

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DOI

10.1002/rcm.6741

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1432-1262

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Experiences of two centers of bariatric surgery in

Authors: C Stroh U Hohmann U Will R FladeKuthe B Herbig S Höhne H Köhler P Pick Th Horbach R Weiner S Wolff H Lippert A M Wolf U Schmidt F Meyer Th Manger Study Group “Obesity Surgery”
Publish Date: 2008/06/06
Volume: 23, Issue: 9, Pages: 901-908
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Abstract

Adjustable silicone gastric banding ASGB is an effective treatment in morbid obesity Band migration is a longterm complication Causes clinical symptoms timing and incidence are investigated in single centres only In Germany since January 1st 2005 practice in bariatric surgery has been investigated in German prospective multicenter trial for quality assurance in obesity surgeryAll patients underwent ASGB in two centres of bariatric surgery in Germany were prospectively registered using a computerbased data form Patients with band migration were retrospectively evaluated in particular causes and characteristics of its management The results were correlated with data obtained from the German prospective multicentre trialIn total 493 patients were enrolled in the study from February 1995 to February 2007 The followup rate was 799 mean followup time period 787 months range 2–148 months Fifteen patients 30 developed migration In 14 cases migration occurred within the range of 30–86 months after implantation In one case migration occurred 10 months after repositioning of the band In the German multicentre trial 629 patients underwent surgery during 2005 and 827 patients in 2006 In both periods 744 of the patients were female and 256 male The most frequently performed operation was ASGB 468 followed by RouxenY gastric bypass 385Band migration requires band removal Different symptoms and complications influence the kind of band removal Multicentre data were evident in the case of high longterm complication rate after ASGB Data of the German multicentre trial show the trend from restrictive bariatric procedures to malabsorptive approach

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