Practitioners’ Area

PRACTITIONERS’ AREA

OFFER AN INNOVATIVE TECHNIQUE TO YOUR PATIENTS

The Le Goff Technique consists of placing a retro-gastric band (pars flaccida), combined with liberation of the greater gastric tuberosity up to the first gastrophrenic ligament: adherences to the spleen are sectioned but the first gastrophrenic ligament is rarely sectioned.

The band is fixed anteriorly using sero-gastric muscular-oesophageal sutures, thus reducing the gastric pouch underneath the band. All fat in the lower part of the anterior oesophagus is removed, as are the vascular and nerve endings from the left vagus.

All the branches of the left vagal nerve to the oesophagus and stomach are sectioned. Gastric evacuation is thus slowed.

In addition, this lower valve stimulates the IGLE satiety centres in the basal state in the wall of the abdominal oesophagus.

This procedure must be associated with multidisciplinary medical-surgical, nutritional, psychiatric-psychoanalytical treatment, two to four visits in the first year, with the accent firmly on the psychological factors (psychotherapy support often indicated) and a resumption of sport.

Inflation and deflation is carried out by the surgeon in radiology. He is able to judge how the band is functioning, the weight loss according to the tightness of the band and how it is being accepted by the patient.

The operation of the band reflects the mental state. The surgeon will thus do an evaluation of the overall success of the operation.

ADVANTAGES FOR YOUR PATIENTS

  • Zero mortality, very low post-operative morbidity
  • Reversible, adjustable, minimally-invasive procedure, without mutilation
  • Very significant reduction in dilatation issues associated with band slippage and complications
  • Considerable short-, medium- and long-term weight loss with very high satiety
  • No nutritional deficiencies and much higher quality of life
  • Regular monitoring and treatment of patients over time
  • Extremely low rate of repeat surgery

ADVANTAGES FOR YOU

Diabetologist:

  • Restriction of sugar intake

Cardiologist:

  • Reduced cardiac risk
  • Reduced hypertension
  • Reduced hypercholesterolemia

Pulmonologist:

  • Increased lung function by reducing the fat mass around the lungs
  • Reduced sleep apnoea

Plastic surgeon:

  • Better aesthetic result

Gastroenterologist:

  • Reduced oeso-gastro-duodenal reflux

Orthopaedist:

  • Reduced load on the joints

Rheumatologist:

  • Reduced articular inflammation

Psychiatrist:

  • Enhanced self-esteem in depressed patients
  • Body awareness

For more information, do not hesitate to contact us.