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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity. Dr. Mojtaba Hashemzadeh Dr. Leila Zahedi-Shoolami Dr. Mahmoud KaramiRad. 2012, May 9 th. Definition of Obesity. BMI ≥ 30 Excess weight more than 20% of Ideal Body Weight. Epidemiology of Obesity.

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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

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  1. Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity Dr. MojtabaHashemzadeh Dr. Leila Zahedi-Shoolami Dr. MahmoudKaramiRad 2012, May 9th

  2. Definition of Obesity • BMI ≥ 30 • Excess weight more than 20% of Ideal Body Weight

  3. Epidemiology of Obesity Worldwide Iran WHO report 2011 Overweight 51.4% Obese 19.4% WHO report 2010 35% of the world population

  4. Case Selection

  5. Gastric Banding Benefits • Performed through Laparoscopy • Short surgery duration • Short clinic stay • Being adjustable • Safe with low complication rate • The most favorable technique for obesity treatment in the United States

  6. Methods & Patients • Time: January 2005 - February 2012 • Setting: A single private setting in Tehran, Iran • Sample Size:165 obese patients with BMI between 32 and 50 kg/m2

  7. Demographic Data

  8. Outcome of Comorbidities

  9. Early Gastric Banding Complications • Bleeding • Perforation

  10. Late Gastric Banding Complications • Port Infection • Prior to adjusting (< 1 month): • Sterility problems • Post adjusting (> 1 month): • Erosion • Unsterile injection • Slippage • Erosion • Opening of the gastric band clips • Pouch Enlargement • Acute obstruction due to band connection tube

  11. Complications

  12. Comparison of the complications between the patients with BMI < 40 kg/m2 and BMI ≥ 40 kg/m2

  13. Port Infection

  14. Slippage

  15. Prolapse

  16. Erosion

  17. Opening of the gastric band clips (X-Ray)

  18. Opening of the gastric band clips

  19. Replacing the Gastric Band

  20. Before LAGB After LAGB

  21. What to do in order to decrease the complication rate? • Proper case-selection • Considering the sterility principles • Changing eating habits in patients • Avoiding vomiting

  22. “Thank you for your attention”

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