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Laparoscopic adjustable silicone gastric banding leakage assessed by 99mTc-pertechnetate scintigraphy

(1999) JOURNAL OF NUCLEAR MEDICINE. 40(5). p.783-785
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Organization
Abstract
The purpose of this study was to assess the value of Tc-99m-pertechnetate scanning in the diagnosis of gastric banding leaks. Methods: Three patients with morbid obesity received laparoscopic adjustable silicone gastric banding (ASGB), but no significant weight reduction was obtained. To exclude band leakage as the cause, four scintigraphic procedures were performed, consisting of imaging the upper abdomen 30 min and 3 h after injection of 3 mt (111 MBq) pertechnetate solution into the ASGB reservoir. In one patient, the integrity of the ASGB device: was first assessed radiologically after injection of a water-soluble contrast agent into the ASGB reservoir. Results: In two normally functioning ASGB devices, radiotracer was observed within the device on both early and late images. In two patients with a surgically proven small leak in the reservoir or the connecting tube, late images showed little tracer in the reservoir and the connecting tube. However, intense tracer accumulation was observed in the stomach as a result of resorption of pertechnetate in the subcutaneous or peritoneal blood vessels and subsequent gastric uptake. In one of the latter patients, radiographic assessment of the ASGB device revealed no abnormalities. Conclusion: Tc-99m-pertechnetate scanning is a valuable technique to diagnose small leaks in an ASGB device.
Keywords
complications, gastric banding, obesity, Tc-99m-pertechnetate scanning, MORBID-OBESITY, SURGERY

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Citation

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Chicago
Van den Eeckhaut, Anja C, Geert Villeirs, Christophe Van De Wiele, JAN VERSIJPT, Piet Pattyn, and Rudi Dierckx. 1999. “Laparoscopic Adjustable Silicone Gastric Banding Leakage Assessed by 99mTc-pertechnetate Scintigraphy.” Journal of Nuclear Medicine 40 (5): 783–785.
APA
Van den Eeckhaut, A. C., Villeirs, G., Van De Wiele, C., VERSIJPT, J., Pattyn, P., & Dierckx, R. (1999). Laparoscopic adjustable silicone gastric banding leakage assessed by 99mTc-pertechnetate scintigraphy. JOURNAL OF NUCLEAR MEDICINE, 40(5), 783–785.
Vancouver
1.
Van den Eeckhaut AC, Villeirs G, Van De Wiele C, VERSIJPT J, Pattyn P, Dierckx R. Laparoscopic adjustable silicone gastric banding leakage assessed by 99mTc-pertechnetate scintigraphy. JOURNAL OF NUCLEAR MEDICINE. 1999;40(5):783–5.
MLA
Van den Eeckhaut, Anja C, Geert Villeirs, Christophe Van De Wiele, et al. “Laparoscopic Adjustable Silicone Gastric Banding Leakage Assessed by 99mTc-pertechnetate Scintigraphy.” JOURNAL OF NUCLEAR MEDICINE 40.5 (1999): 783–785. Print.
@article{116110,
  abstract     = {The purpose of this study was to assess the value of Tc-99m-pertechnetate scanning in the diagnosis of gastric banding leaks. Methods: Three patients with morbid obesity received laparoscopic adjustable silicone gastric banding (ASGB), but no significant weight reduction was obtained. To exclude band leakage as the cause, four scintigraphic procedures were performed, consisting of imaging the upper abdomen 30 min and 3 h after injection of 3 mt (111 MBq) pertechnetate solution into the ASGB reservoir. In one patient, the integrity of the ASGB device: was first assessed radiologically after injection of a water-soluble contrast agent into the ASGB reservoir. Results: In two normally functioning ASGB devices, radiotracer was observed within the device on both early and late images. In two patients with a surgically proven small leak in the reservoir or the connecting tube, late images showed little tracer in the reservoir and the connecting tube. However, intense tracer accumulation was observed in the stomach as a result of resorption of pertechnetate in the subcutaneous or peritoneal blood vessels and subsequent gastric uptake. In one of the latter patients, radiographic assessment of the ASGB device revealed no abnormalities. Conclusion: Tc-99m-pertechnetate scanning is a valuable technique to diagnose small leaks in an ASGB device.},
  author       = {Van den Eeckhaut, Anja C and Villeirs, Geert and Van De Wiele, Christophe and VERSIJPT, JAN and Pattyn, Piet and Dierckx, Rudi},
  issn         = {0161-5505},
  journal      = {JOURNAL OF NUCLEAR MEDICINE},
  keywords     = {complications,gastric banding,obesity,Tc-99m-pertechnetate scanning,MORBID-OBESITY,SURGERY},
  language     = {eng},
  number       = {5},
  pages        = {783--785},
  title        = {Laparoscopic adjustable silicone gastric banding leakage assessed by 99mTc-pertechnetate scintigraphy},
  url          = {http://jnm.snmjournals.org/content/40/5/783},
  volume       = {40},
  year         = {1999},
}

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