Bariatric Surgery Information
Review of Laparoscopic Gastric Banding Surgery

Most Popular Gastric Banding

Obesity Surgery Information - Research Into Obesity Surgery

Review of Laparoscopic Gastric Banding Surgery

Laparoscopic gastric banding (LGB) is currently the most popular purely restrictive bariatric operation in Europe and many other countries. It has a low operative morbidity, but is associated with a substantial late complication rate. Many late complications have been attributed to technical errors or to the learning curve. The aim of this paper is to present our results with gastric banding after the learning curve in order to disclose the true incidence of long-term complications.

Method

Laparoscopic gastric banding was introduced in our department in December 1995. Thirty patients were operated on until June 1997 using the early banding technique (band within the lesser sac), at which time the surgical technique was slightly modified in order to place the band above the lesser sac. Then another 300 patients underwent Laparoscopic gastric banding using either the Lapband or the SAGB system. This report focuses on the latter patients. All the data were collected prospectively.

Results

The series includes 300 patients (257 women and 43 men) with a mean age of 38.3 years (19-64). The mean initial weight was 119.2 kg (57-179), initial body mass index (BMI) was 43.3 kg/m2 (21-64), and initial excess weight was 96.5% (0-191). The mean duration of surgery was 90 min, decreasing over time to a mean of 75 min for the last 50 cases. Early overall morbidity was 6.6%. Major complications occurred in 7 patients (2.3%). Excess weight loss (EWL) was at least 50% in 66% of the patients after 2 years, averaging 60%, with no substantial change until 4 years, and the BMI stabilized between 30 and 31 kg/m2. Forty-nine patients developed a total of 52 long-term complications, of which 23 (7.6%) were related only to the port or catheter. Band erosion occurred in 17 (5.6%), pouch dilatation with slippage in 8 (2.6%), and infection in 4 (1.3%) patients. Fifty-five reoperations were necessary. Twenty-five of these were related only to the port. The band was removed from 26 (9%) patients, of whom 17 were converted to Roux-en-Y gastric bypass.

Conclusion

Laparoscopic gastric banding gives satisfactory results in terms of weight loss in about two-thirds of the patients. Even beyond the learning curve, the long-term morbidity is not negligible, but is acceptable compared to other procedures such as vertical banded gastroplasty. Conversion to gastric bypass is possible when complications occur and can be performed when the band is removed in most cases.

Source:
Suter M, Giusti V, Heraief E, Zysset F, Calmes JM. Department of Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Bariatric Surgery

After Jejunoileal Bypass - Binge Eating Bypass Patients - Bariatric Surgery Adolescents - Bypass After Failed Banding Operation - Bypass Diet Exercise - Bypass Super-Obese Patients - Energy Expenditure Bypass - Energy Intake Weight Loss Bypass - Isolated Pouch Terminal Anastomosis - Jejunoileal Bypass Obesity - Gastric Bypass Sleep Apnea - Respiratory Failure Gastric Bypass - Roux Limb Length - Anastomosis Stricture Bypass - Adjustable Gastric Banding Follow-Up - Adjustable Silicone Gastric Banding - Esophagogastric Banding - Heliogast Band - Lap-Band System United States - Body Fluid Gastric Banding - Lap-band Experience - Lap-Band Failure - Lap Band Gastric Banding Italy - Lap-Band System - Low-Pressure Gastric Band - Magenstrasse Gastroplasty - Minimal Invasive Gastric Banding - Morbid Obesity Probnp levels - Non-Adjustable Gastric Banding - Swedish Adjustable Gastric Banding - Lap-Band Surgery Sweet-Eating - Visceral Obesity Banding - Central Obesity Adverse Effects - Laparoscopic Duodenal Switch - Gastric Bypass Obese Adolescents - Laparoscopic Adjustable Gastric Banding Adolescents - Radiology Laparoscopic Adjustable Gastric Banding - Laparoscopic Roux-en-Y Gastric Bypass - Laparoscopic Gastric Bypass Versus Banding - Laparoscopic Duodenal Switch - Review Laparoscopic Gastric Banding - Laparoscopic Gastric Bypass Study - Results Laparoscopic Lap-Band Bariatric Surgery - Laparoscopic Silicone Banding - Laparoscopic Surgical Procedures - Laparoscopic Versus Open Bypass - Linear Gastroenterostomy - Posterior Rectus Sheath - Repair Ventral Hernias Bypass - Results Laparoscopic Banding - Review Lap Banding Results - Roux-en-Y Gastric Bypass Hospital - Roux-en-Y Gastric Bypass Recalcitrant Gerd - Stapled Gastrojejunal Anastomosis - Access-Port Complications - Acylation-Stimulating Protein - Anastomotic Stricture Complication - Band Leakage After Gastric Banding - Lipid Profile Biliopancreatic Bypass - Body Composition After Bypass - Body Composition Gastric Banding - Cholecystectomy Combined Bypass - Comorbidities After Lap Band Surgery - Diabetes Hypertension Gastric Bypass - Weight Loss Obese Diabetics - Bariatric Surgery Diabetes Obese - Effects Adjustable Gastric Banding - Fat Soluble Vitamin Deficiency - Gastric Band Infection - Bone Metabolism Gastric Banding - Gastric Banding Crural Repair - Gastric Banding Renal Disease - Bypass Surgery Ghrelin Leptin - Gastric Bypass Surgery Ghrelin Levels - Bypass Surgery Immunity Effects - LAGB Two-Step Technique - LAGB Weight Health - Effect Of Laparoscopic Bypass Diabetes - Laparoscopic Heliogast Band - Laparoscopic Revisional Surgery - Gastrointestinal Symptoms After Bypass Surgery - Post-Operative Band Management - Pouch Dilation Slippage - Prophylactic Cholecystectomy - Radiological Examination Lap-Band - Reoperative Sleeve Gastrectomy - Safety of Duodenal Switch Bypass - Silicone Gastric Banding - Quality of Life After Gastric Bypass - Gastric Banding Outcomes - Health-Related Gastric Bypass - Preoperative Gastric Band Therapy - Psychological Effects After Gastric Banding - Psychosocial Outcomes Bypass Surgery - Counseling Support After Gastric Banding - Abdominoplasty Dermolipectomy - Fleur-de-Lys Abdominoplasty - Autologous Breast Augmentation - Breast Enlargement Liposuction

BARIATRIC & GASTRIC SURGERY INFORMATION

What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty


Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources