In the August 2009 issue of Archives, we read with great interest the retrospective analysis by Frezza et al1 on the value of routine postoperative gastrografin contrast swallow studies after laparoscopic gastric banding. Frezza et al reported on 97 consecutive patients who underwent laparoscopic gastric banding followed by a swallow study to evaluate for leaks. All swallow study results were normal, no alteration in patient care resulted, and an extra $49 470 was spent. Frezza et al concluded that routine postoperative upper gastrointestinal tract radiologic studies are expensive and of limited value.
Edelman DA, Laker S, Weiner M, Webber JD. Routine Postoperative Gastrografin Studies Are Not Necessary After Laparoscopic Gastric Banding. Arch Surg. 2010;145(2):211-212. doi:10.1001/archsurg.2009.274