REOPERATION DUE TO COMPLICATIONS AFTER GASTRIC RESTRICTION OPERATION

Background: In the past 4 years we performed operations on 90 patients who suffered from morbid obesity, Five different operative techniques were available, vertical banded gastroplasty (VBG), silastic ring ver tical gastroplasty (SRVG), gastric banding operation, adjustable silic one gastric banding (ASGB) and biliopancreatic diversion (BPD). Method s:Two of these operations were mainly utilized, The ASGB was done rout inely, The SRVG was used particularly for patients with hiatal hernia. Only one patient, who had a deformed pylorus, underwent the BPD. Resu lts: Eleven patients had to be reoperated due to complications after t he first operation of gastric restriction, They were divided into thre e groups depending on the type of complication: reoperation due to lac k of compliance, due to technical failure, or due to other complicatio ns, In the last group we observed three patients with band perforation into the stomach without epigastric pain. This complication has, to o ur knowledge, only been described in very few cases, Conclusion: In so me patients it remained difficult to reach adequate compliance, althou gh we kept close contact with them after the operation. We do not yet know the reasons for the band perforation observed in three patients.