The Long-Term Effects of the Adjustable Gastric Band on Esophageal Motility in Patients Who Present for Band Removal

Loic Tchokouani, Anusha Jayaram, Naif Alenazi, Gustavo Fernandez Ranvier, Gina Sam, Subhash Kini

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: During the past decade, laparoscopic adjustable gastric banding (LAGB) was one of the most popular surgical procedures in treating morbid obesity. Long-term effects, specifically on esophageal motility, of LAGB have not been well described in the literature despite the high prevalence of reoperations and post-operative dysphagia. We aimed to characterize esophageal dysmotility after long-term follow-up using data of high-resolution esophageal manometry (HRM) performed in patients who presented for LAGB removal. The research was conducted in Academic Hospital Center in the USA. Methods: Research was conducted with approval from the institution’s Institutional Review Board. We included 25 consecutive patients who were requesting removal of the band or revisional bariatric surgery. All patients underwent HRM between 2011 and 2015. Results: A Fisher’s exact test two-sided p value 0.41 shows no statistically significant difference in proportions of normal motility or impaired motility between asymptomatic and symptomatic patients. Conclusions: Patients with a history of LABG can have esophageal dysmotility whether they are symptomatic or asymptomatic. Based on existing literature, we recommend pre-operative manometry in these patients requesting revisional surgery.

Original languageEnglish
Pages (from-to)333-337
Number of pages5
JournalObesity Surgery
Volume28
Issue number2
DOIs
StatePublished - 1 Feb 2018

Keywords

  • Adjustable gastric band
  • Esophageal motility
  • Long term effects

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