Adverse Effects After Vertical Banded Gastroplasty. From ECRI (19).
Study (Year) | Timing of Event | Description | Patients, % (n/N) |
---|---|---|---|
Lee (2001) | Perioperative | Any complications | 3% (3/100) |
Conversion to open surgery | 1% (1/100) | ||
Mortality | 0% (0/100) | ||
Early | Transient bleeding | 2% (2/100) | |
Acute gout attack | 1% (1/100) | ||
Gastric stasis | 2% (2/100) | ||
Gastric perforation | 1% (1/100) | ||
Late | Staple line disruption | 1% (1/100) | |
Symptomatic cholelithiasis | 1% (1/100) | ||
Gastric outlet stenosis | 21% (1/100) | ||
Melissas (2001) | Perioperative | Mortality | 0.8% (1/125) |
Perioperative | Gastric leak | 1.6% (2/125) | |
Early | Pleural effusion | 12.8% (16/125) | |
Respiratory failure | 3.2% (4/125) | ||
Pneumonia | 4.8% (6/125) | ||
Atelectasis | 30.4% (38/125) | ||
Splenic injury | 0.8% (1/125) | ||
Wound infection | 9.6% (12/125) | ||
Husemann (1999) | Late | Staple line disruption | 7% (46/655) |
Late | Reoperation | 5.2% (34/655) | |
Suter (1999) | Perioperative | Intraoperative complications | 4.6% (9/197) |
Early | Mortality | 0% (0/197) | |
Thrombosis/embolism | 6.1% (12/197) | ||
Pneumonia | 3.6% (7/197) | ||
Wound infection | 7.6% (15/197) | ||
Sepsis | 0.5% (1/197) | ||
Stroke | 0.5% (1/197) | ||
Prolonged apnea | 0% (0/197) | ||
“miscellaneous” | 6.1% (12/197) | ||
Late | Stenosis | 10.2% (20/197) | |
Incisional hernia | 2.5% (5/197) | ||
Band erosion | 1.5% (3/197) | ||
Staple line disruption | 1.5% (3/197) | ||
Catheter disruption/disconnection | 0.5% (1/197) | ||
Port infection | 0.5% (1/197) | ||
Reoperation | 13.7% (27/197) | ||
Pouch dilation | 0% (0/197) | ||
Capella (1996) | Perioperative | Mortality | 0.3% (1/329) |
Early | Early reoperation | 0% (0/329) | |
Late | Reversal to normal anatomy | 0.3% (1/329) | |
Staple line disruption | 30% 99/329) |
(Table reproduced with kind permission from ECRI. Bariatric Surgery for Obesity. 2004. Plymouth Meeting, PA, ECRI. Technology Assessment Report.)