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DOI:10.2214/AJR.07.2528
AJR 2008; 190:W128-W129
© American Roentgen Ray Society


Technical Innovation

Adjustment of Laparoscopic Banding Device with the Aid of an Angiographic Compression Device

Colin K. F. Tan1,2 and Graham D. Walker1,2

1 Radiology Department and the Wesley Medical Centre, The Wesley Hospital, Auchenflower, Queensland 4066, Australia.
2 Present address: Southern Xray Clinics, The Wesley Hospital, Chasely St., Auchenflower, Queensland 4066, Australia.

OBJECTIVE. Adjustable laparoscopic gastric banding has been used as a surgical means of weight reduction. Percutaneous access of the port for adjustment can be difficult even if imaging guidance is used. We present a novel use of an angiographic compression device to stabilize the port and facilitate the adjustment procedure.

CONCLUSION. This technique has limited the need for multiple puncture attempts, allowed more efficient access to the port, and reduced radiation dose to the patient and operator.

Keywords: bariatric surgery • gastric banding • interventional radiology • port access


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