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Non-Adjustable Gastric Banding Compared to Adjustable Gastric Band

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Non-Adjustable Gastric Banding Compared to Adjustable Stomach Band

The purpose of this study is to review the current status of non-adjustable gastric banding (NGB) and to determine whether this operation is still acceptable in the management of morbid obesity, especially when compared with the adjustable GB (AGB) in long-term results.

Method

A literature search was conducted of data published on non-adjustable gastric banding and adjustable gastric banding in Obesity Surgery in the past 12 months or available from other sources, with records of early and late band-related complications, reoperation rate and weight loss in groups reporting > or = 100 patients with minimum 3-year postoperative follow-up.

Results

1,812 non-adjustable gastric banding and 1,968 AGB patients were included. Mean BMI was 42.4 in non-adjustable gastric banding vs 44.0 in adjustable gastric banding. No statistical difference occurred in the early complication rate (1.4% in NGB vs 1.6% in AGB). A statistical difference was noted in long-term complication rate, (1.9% in NGB vs 6.7% in AGB), and in reoperation rate (3.4% vs 7.2%). There was no difference in excess weight loss at 48 months following both operations (54.2% vs 53.0%).

Conclusion

A significant difference in favor of non-adjustable gastric banding occurred in the long-term reoperation rate. No other differences were identified, other than in band material. Non-adjustable gastric banding is a softer material and therefore, according to computerized images, has greater flexibility in copying gastric peristaltic waves, which may result in less irritation and more physiological behavior by this band.

Source:
Fried M, Kasalicky M, Melechovsky D, Kormanova K. 1st Surgical Department, Charles University General Faculty Teaching Hospital, Prague, Czech Republic.
National Library of Medicine 2002

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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