Gastric Banding Research Today is a free monthly online journal that collates and summarizes the latest research about Gastric Banding, including details on laparoscopic gastric banding, stomach stapling, gastric bypass, risks, diet.

Barrett's Esophagus: A Late Complication of Laparoscopic Adjustable Gastric Banding.

Varela JE

Minimally Invasive and Bariatric Surgery, Washington University, 660 South Euclid, Box 8109, St. Louis, MO, 63110, USA, varelae@wudosis.wustl.edu.

Laparoscopic adjustable gastric banding has become a popular bariatric restrictive procedure in the USA. The increasing popularity of the laparoscopic adjustable gastric band procedure could, in part, be related to the lower cost and lower morbidity compared with laparoscopic gastric bypass. Although its placement is related to a lower number of perioperative complications compared with laparoscopic gastric bypass, its morbidity may be substantial. Barrett's esophagus or esophageal intestinal metaplasia is a known complication of chronic gastro-esophageal reflux disease that, in rare occasions, progresses to dysplasia and esophageal adenocarcinoma. Barrett's esophagus, after laparoscopic adjustable gastric banding placement, is a rare but not unexpected complication after gastric band placement. The incidence of Barrett's esophagus after adjustable gastric banding is not known. We present a case of Barrett's esophagus as a result of laparoscopic adjustable gastric banding placement due to a chronically and highly restrictive gastric band in a former morbidly obese patient.

Published 3 February 2010 in Obes Surg, 20(2): 244-6.
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Articles on Gastric Banding published 3 February 2010:

Relationship between growth hormone/insulin-like growth factor-1 axis integrity and voluntary weight loss after gastric banding surgery for severe obesity.   Obes Surg, 20(2): 211-20.

BACKGROUND: The aim of this observational study was to determine, in a retrospective analysis, whether growth hormone (GH) and insulin-like growth factor-1 (IGF-1) at baseline or changes in the GH/IGF-1 axis after laparoscopic adjustable gastric banding (LAGB) is associated with weight loss and body composition changes in severely obese nondiabetic patients. METHODS: Weight loss (expressed as percent excess weight loss [EWL%]), anthropometry, body composition by bioelectrical impedance analysis ... [Abstract] [Full-text]

Laparoscopic Gastric Banding Without Visible Scar: a Short Series with Intraumbilical SILS.   Obes Surg, 20(2): 236-9.

Single-incision laparoscopic surgery has been developed with the aims of further reducing the invasiveness of traditional laparoscopy. The technique of lap-band placement from a single intraumbilical incision is described. Three patients underwent a single-incision laparoscopic surgery gastric banding (SILS-GB) for morbid obesity from May to September 2008. All interventions were uneventful and patients were discharged on first postoperative day, after an upper gastrointestinal series. SILS-GB ... [Abstract] [Full-text]

Discrepancy between ideal and realistic goal weights in three bariatric procedures: who is likely to be unrealistic?   Obes Surg, 20(2): 148-53.

BACKGROUND: Patients choose to undergo bariatric surgery for a variety of medical and psychosocial reasons. However, the majority of bariatric surgery candidates have unrealistic weight loss goals, and certain subgroups within this population may be more likely to endorse such beliefs. This study examines weight loss expectations in patients undergoing three different weight loss procedures (laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, or laparoscopic sleeve ... [Abstract] [Full-text]

Articles on Gastric Banding published 1 February 2010:

Early Effects of Gastric Banding (LGB) and of Biliopancreatic Diversion (BPD) on Insulin Sensitivity and on Glucose and Insulin Response after OGTT.   Obes Surg.

BACKGROUND: Bariatric surgery improves glucose metabolism. METHODS: To assess the direct role of surgery (i.e., independently of significant weight loss) on insulin sensitivity (homeostasis model assessment (HOMA) insulin resistance (IR) and oral glucose insulin sensitivity (OGIS)), on glucose and insulin response (area under the curve (AUC) blood glucose (BG) and AUC insulin (Ins)) to oral glucose tolerance test (OGTT), and on glucose tolerance, 11 subjects underwent OGTT (75 g, p.o.) before ... [Abstract] [Full-text]

Articles on Gastric Banding published 29 January 2010:

Circulating levels of insulin-like growth factor-II/mannose-6-phosphate receptor in obesity and type 2 diabetes.   Growth Horm IGF Res.

OBJECTIVE: The extracellular domain of the insulin-like growth factor II/mannose-6-phosphate receptor (IGF-II/M6P-R) is present in the circulation, but its relationship with plasma IGF-II is largely unknown. As IGF-II appears to be nutritionally regulated, we studied the impact of obesity, type 2 diabetes (T2D) and weight loss on circulating levels of IGF-II and its soluble receptor. METHODS: Twenty-three morbidly obese non-diabetic subjects were studied before and after gastric banding (GB), ... [Abstract] [Full-text]

Articles on Gastric Banding published 28 January 2010:

A prospective trial for laparoscopic adjustable gastric banding in morbidly obese adolescents: an interim report of weight loss, metabolic and quality of life outcomes.   J Pediatr Surg, 45(1): 74-8; discussion 78-9.

BACKGROUND AND MATERIALS AND METHODS: The outcome of patients completing 12 months of follow-up in a prospective longitudinal trial of the safety/efficacy of laparoscopic adjustable gastric banding (LAGB) for morbidly obese adolescents aged 14 to 17 years using a Food and Drug Administration Institutional Device Exemption for the use of the LAPBAND was analyzed. Baseline and outcome data were abstracted from a prospective database. RESULTS: Baseline (mean +/- SD) body mass index was 50 +/- 10 ... [Abstract] [Full-text]

Effect of bariatric surgery on circulating chemerin levels.   Eur J Clin Invest.

Eur J Clin Invest 2010 Abstract Background Subclinical inflammation in obesity is critical for development of several obesity-associated disorders. We set out to investigate the effect of pronounced weight loss on circulating chemerin levels, a chemoattractant protein that also influences adipose cell function by paracrine and autocrine mechanisms. Material and methods Thirty-two obese patients undergoing bariatric surgery were tested before and on an average of 18 months after gastric banding ... [Abstract] [Full-text]

Articles on Gastric Banding published 21 January 2010:

Variation of outcome in weight loss with band volume adjustments under clinical and radiological control following laparoscopic adjustable gastric banding.   Obes Surg, 20(1): 13-8.

BACKGROUND: Following laparoscopic adjustable gastric banding (LAGB), patients usually undergo follow-up (FU) to optimize weight loss and detect complications, with band-volume adjustment performed either under radiological or clinical guidance with no current consensus on what is the best standard of care. We, therefore, analyzed our patient cohort to identify differences between the two, if any, over a 3-year period. METHODS: We retrospectively reviewed our obesity surgery database to find ... [Abstract] [Full-text]

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