Obesity surgery
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Clinical Trial
Gastroscopic band removal after intragastric migration of adjustable gastric band: a new minimal invasive technique.
Laparoscopic adjustable gastric banding (LAGB) is the most used procedure for bariatric surgery in Europe. Although a low complication rate is reported, band migration within the first 2 years after LAGB is still observed in nearly 5% of cases, requiring operative band removal. To avoid increased risk of complications due to laparotomy, we propose a minimally invasive technique for this purpose. ⋯ A novel technique for minimally invasive band removal after adjustable gastric band migration is described, offering the patient a low-risk procedure and a better chance for further laparoscopic approaches.
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Clinical Trial
Efficacy and safety of patient-controlled analgesia for morbidly obese patients following gastric bypass surgery.
Adequate postoperative pain control is important to reduce potential cardiopulmonary complications. It is often difficult to determine dosages of narcotics for morbidly obese patients following Roux-en-Y gastric bypass (RYGBP) due to respiratory depression. Individualization of analgesic therapy, patient-controlled analgesia (PCA), can provide optimal dosage for pain control and minimize the side-effects. ⋯ PCA is safe and effective for morbidly obese patients following RYGBP.