Que faire en cas d’échec de l’anneau gastrique ajustable ?

Obésité 3(4):286-289. DOI: 10.1007/s11690-008-0152-2

ABSTRACT L’anneau gastrique ajustable est l’intervention la plus utilisée en Europe, car ce procédé est relativement simple, totalement
réversible, a gagné une très grande popularité parmi les chirurgiens bariatriques. Cependant, bien que les résultats à court
terme soient bons, avec une perte d’excès de poids de plus de 50 % chez la plupart des patients au bout de deux à cinq ans,
les résultats à long terme sont « entachés » d’un taux important de complications. Les complications sont soit spécifiques
de l’anneau (problèmede matériel, slippage, érosion gastrique, dilatation de la poche gastrique et/ou de l’œsophage, reflux
gastro-œsophagien) ou dues à une perte de poids insuffisante. Cet article prend en considération les différentes stratégies
thérapeutiques possibles, face à l’échec de la gastroplastie par anneau.
The adjustable gastric band is currently the most commonly used surgical intervention in Europe, as it is simple, reversible
and increasingly popular with bariatric surgeons. However, although short-term results are good, with a loss of over 50% of
excess weight in most patients after 2 to 5 years, long-term results are marred by a significant complication rate. These
are either band-specific (problems with the material, slippage, gastric erosion, dilation of the gastric and/or oesophageal
pouch, gastro-oesophageal reflux) or connected with insufficient weight loss. This article reviews the various treatment strategies
that can be tried should gastric banding fail.

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