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Soft Basket Band: a Novel Technique for Gastric Banding. Prof. Antonio Catona. biggest problem: 5% pouch dilatations in 1050 laparoscopic gastric band procedures. Reasons for New Developments. Most common complications after gastric banding: pouch dilatation slippage band migration - PowerPoint PPT Presentation
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Prof. Antonio Catona
Soft Basket Band: a Novel Technique for Gastric Banding
biggest problem:5% pouch dilatationsin 1050 laparoscopic
gastric band procedures
Reasons for New Developments
Most common complications after gastric banding:
pouch dilatation slippage band migration mechanical malfunction
second problem:1,8% slippage*
in our 1050 laparoscopicgastric band procedures
(reoperation needed)
Reasons for New Developments
Most common complications after gastric banding:
pouch dilatation slippage band migration mechanical malfunction
* In literature, actual slippage of 4-6 % is usually found
New Development
TraditionalSoft Adjustable
Gastric BandNew Soft Basket
Band
Design Advantages of the Soft Basket Band
proximal basket(soft material)
extremely soft material on stomach
adjustable gastric band
pre-shaped
Study Setup Start: June 2004 Basked Bands implanted: 97 Average initial BMI: 39,10 Follow-up:
1 month 3 months 6 months 12 months (detailed figures follow) 24 months (detailed figures follow) 36 months (detailed figures follow)
PEWL is similar to regular gastric bands, if not better
Clinical Results I
31 3624126Months
Clinical Results II
Patients Exc. Wgt. PO
97 85%Patients 1 yr PEWL 1 yr PEWL > 50% 1 yr PEWL > 60% 1 yr PEWL > 70% 1 yr
n % n % n %
80 45,6% 34 43% 19 24% 9 11%
Patients 2 yrs PEWL 2 yrs PEWL > 50% 2 yrs PEWL > 60% 2 yrs PEWL > 70% 2 yrs
n % n % n %
53 58,6% 32 60% 23 43% 16 30%
Patients 3 yrs PEWL 3 yrs PEWL > 50% 3 yrs PEWL > 60% 3 yrs PEWL > 70% 3 yrs
n % n % n %
15 61,2% 9 60% 8 53% 5 33%
Updated October 10, 2008
Initial AVG BMI: 39,10
Clinical Results III
The Soft Basket Band was created to reduce most common complications
Type of complication
Basket Band (n=97)
Swedish Band
(n=1050)
Pouch Dilatation
0 % 5 %
Slippage 0 % 1,8 %
Conclusion Main problems of AGB are complications such as:
proximal pouch dilatation which negatively affects quality of life slippage which requires an emergency re-operation
One possible solution to prevent proximal pouch from enlargement may be a mesh tied to a regular band to envelope the upper part of the stomach.
Results of this preliminary series are encouraging, considering that:
With the Soft Basket Band we had no gastric pouch dilatation or slippage, no disphagia, no need for re-operation for complications