Abstract
Background. The Swedish adjustable gastric band (SAGB) is used to treat morbid obesity. However,
no quantitative data are available describing the follow-up of these patients with
respect to the frequency and the complication rate of inflating and deflating the
adjustable system. Methods. We prospectively investigated 207 morbidly obese patients. All patients completed
12 months of follow-up and were seen in intervals of 1 to 3 months on an outpatient
basis. Results. A total of 207 patients had 1692 consultations (8.3 ± 2.4 consultations per patient
per year) [mean ± SD], 920 port-a-catch punctions (4.6 ± 2.0), 820 inflations (4.1
± 1.6), and 100 deflations (1.4 ± 0.6). Complications related to the port-a-catch
(n = 6, 2.9% of all patients) were 1 leakage of the tube (0.5%), 2 disconnections
of the connecting tube (1.0%), and 3 reimplantations of the port-a-cath as a result
of discomfort (1.4%). Complications related to the SAGB (n = 10, 4.8%) were 6 leakages
of the band (2.9%), 2 penetrations (1.0%), 1 intraoperative perforation of the esophagus
(0.5%), and 1 dystopically implanted SAGB (0.5%). Additionally, 9 minor early postoperative
wound infections (4.3%) were recorded. Conclusions. Follow-up can be safely performed on an outpatient basis after implantation of a
SAGB without infectious and other minor complications directly linked to the filling
procedure. (Surgery 2000;127:484–8)
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Article info
Publication history
Accepted:
October 5,
1999
Footnotes
*Reprint requests: F. F. Horber, MD, Hirslanden Clinic, Witellikerstr 40, CH-8008 Zürich, Switzerland.
**Surgery 2000;127:484–8
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
