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Evolving Pattern of Laparoscopic Gastric Band Access Port Complications

Abstract  Laparoscopic gastric banding (LGB) is the commonest bariatric procedure in Australia. The commonest complication of LGB is
access port or tubing (AP/T) problems, requiring revisional surgery. The aim of this study was to document the evolving pattern
of AP/T complications. All patients whose LGB procedure (AllerganTM Bands) and AP/T revision (AllerganTM port revision sets) were performed by one surgeon (1999 to 2008) were included, giving 167 AP/T revisions in 124 patients
out of a total 1,928 LGB patients. All patient follow-up details were prospectively recorded and retrospectively analysed.
Incidence of LGB AP/T problems was 8.7%. Mean time to first AP/T revision was 2 years. Over the last 4 years of the series,
the number of LGB insertions was constan…