A GASTRIC BAND WITH ADJUSTABLE INNER DIAMETER FOR OBESITY SURGERY - PRELIMINARY STUDIES

Gastric banding for morbid obesity is theoretically an attractive meth od, since it is easily reversible, does not require opening of the sto mach or intestines, and is associated with a very low surgical risk. T he disadvantage is the high rate of reoperation because of the difficu lty to obtain an optimal stoma diameter. This led us to develop a new gastric balloon band in which it is possible to regulate the inner dia meter between 0 and 40 mm. In this study of the technical properties, we have investigated the inner pressure of the band during filling, th e breaking point of the balloon when overfilling, the strength of the band and finally the degree of diffusion through the system. We found that there is no pressure with filling up to 10 ml. The band is thus a low pressure system. It can be filled with five times its normal volu me before breaking. A pressure of 300 mmHg can be applied inside the s ystem without breaking it. Finally, when the system was filled with so ya oil, there was no detectable diffusion through the system in a one- year trial. These findings are consistent with our preset specificatio ns. Clinical trials have therefore been started.