Research Into Adjustable Gastric Band Surgery to Reduce Obesity
Study of stomach lap banding, laparoscopy,
weight loss results
Surgery | Restrictive
Surgery Benefits, Risks | Gastric Banding
| Lap Band Surgical Procedure
Research Into Adjustable Gastric Band Surgery
Early experience gained in Europe with the LAP-BAND system made by Bioenterics (Inamed Corporation, USA) led to repeated modification of the technique and resulted in great improvements in outcome. As with the adjustable band, the so-called Swedish band (SAGB, Obtech AG, ETHICON), which makes a smaller pouch, significantly reduced the post-operative complication rate.
Adjustable Gastric Band Procedure
The AGB is a 12-mm-wide soft silicone band with an elastic balloon that can be inflated by injection according to individual need. The band is fitted around the upper part of the stomach, dividing it into two sections, the smaller of which is above the band and has a capacity of approximately 1520 ml (pouch); the larger remaining part is below the band. The constriction is called a stoma. The following are the main differences in technique for gastric banding: by means of a calibration balloon positioned in the stomach, the site of incision is determined at the small curvature. At this site, a 0.5 to 1-cm window is placed close to the cardia. The fenestration is continued along the posterior wall of the gastro-oesophageal junction up to the angle of His. Another so-called pars flaccida technique starts at the medial edge of the right crus of the diaphragm after incision of the pars flaccida of the lesser omentum dissecting to the angle of HIS. Tunnelled suturing is obligatory to prevent band slippage and to ensure that the fundus does not slide under the band. We also recommend gastropexy in addition to the stomach wall suture (fundus sutured to the left side of the diaphragm). The AGB makes it possible for the surgeon to alter the stoma diameter.
Laparoscope-Assisted Gastric Banding
Laparoscopic implantation of an AGB requires approximately the same level of skill as laparoscopic Nissen fundoplication. As with all laparoscopic procedures, there is a learning curve for banding that can vary quite substantially. Good surgical training, careful patient selection and inter-disciplinary follow-up management are some key factors. Trouble-free banding requires experience and practice. De Jong and van Ramshorst report a re-operation rate of 30% in their first 50 patients and a significant reduction of 13% for the next 47. Elmore et al. report that the largest number of complications occurred in the first 25 patients. Angrisani and colleagues report disappointing results in the early laparoscopic operations.
Adjustable Gastric Band Weight Loss Results
Weight loss is given in the literature as BMI 4346 pre-operatively to BMI 2832 post-operatively. The target of a 5060% reduction of excess weight is achievable. Belachew et al. have demonstrated that 80% of their patients reduced their excess weight by 60%. OBrian et al. reported excess weight loss of 51% in the first year, 58% in the second, 61% in the third and 68% in the fourth year post-operatively. Studies with a follow-up of over 5 years confirm that the weight loss is long-term.
Adjustable Gastric Band Complications and Risks
A prospective study in our department, comparing the two bands, found no difference in weight loss and complication rate between LAP banding and SAGB after a 4-year follow-up. Complications break down into peri-operative and late complications. Top priority is given to the prevention of complications, however. Thorough training and an inter-disciplinary approach to therapy are essential. We believe that the laparoscopically implanted AGB, both the LAP-BAND system and SAGB, is an efficient treatment method for patients with morbid obesity. It dispenses with the need for open surgery on the stomach or small intestine, which remain intact in terms of anatomy and digestive physiology. Long-term metabolic complications are not anticipated. Weight loss and food intake can be adapted to individual patient needs. Of the patients, 8090% can expect to lose 6070% of their excess weight. It is much easier with this method than with other procedures for the surgeon to remove the band and restore the original situation. The surgical technique is difficult in the learning phase, but it becomes easy with practice and is fairly low risk provided that the safety recommendations are observed. All these reasons make gastric banding a relatively safe and efficient treatment for morbid obesity, and it is likely to be an important surgical addition to the treatments available for most of these patients.
|Abdominal Lipoplasty - Abdominal Liposuction - Tummy Tuck Risks - Adjustable Gastric Banding - After Weight Loss Surgery - Anti-Stomach Surgery - Arm Lift Brachioplasty - ASAPS - ASBP - ASBS - ASPS - BAAPS - Belt Lipectomy - BMI Obesity - Breast Lift Mastopexy - Complete Tummy Tuck - Cosmetic Surgery Centers - Cosmetic Surgery After Weigh Loss - Cosmetic Surgery Body Contouring - Cosmetic Surgery Body Sculpture - Cosmetic Surgery Body Shape - Cosmetic Surgery Body Shaping - Cosmetic Surgery Information - Eating After Weight Loss Surgery - Weight Loss Surgery Effects - Endoscopic Tummy Tuck - Facelift Rhytidectomy - Board Cerified Plastic Surgeon - Gastric Lap Band Surgeries - Gastric Bypass Center - Gastric Bypass Information - Lipoplasty Back - Lipoplasty Leg Ankle - Lipoplasty Blood Loss - Lipoplasty Edema Swelling - Lipoplasty Infection Risk - Lipoplasty Pulmonary Embolism Risk - Lipoplasty Seroma Hematoma - Lipoplasty Skin Necrosis - Lipoplasty Toxicity Risk - Lipoplasty Visceral Perforation - Lipoplasty Anesthesia Risk - Liposuction Center - Liposuction Arm - Liposuction Best Candidates - Liposuction Dry Method - Liposuction Face Neck - Liposuction Breast - Liposuction Male Breast - Liposuction Statistics - Liposuction Cellulite - Liposuction Obesity - Liposuction Wet Method - Bypass Low Fat Diet - Malabsorptive Surgery Risks - Gynecomastia - Mesotherapy Fat Loss Cure - Morbid Obesity Surgeries - Neck Lift - Obesity Levels USA - Obesity Levels World - Obesity Diabetes Risk - Obesity Surgery - Obesity Drugs - Panniculectomy Morbid Obesity Treatment - Panniculectomy Post Weight Loss - Partial Tummy Tuck - Plastic Surgery Operations - Plastic Surgery Center - Plastic Surgery Information - Adjustable Gastric Band Research - Biliopancreatic Research - Gastric Band Research - Gastric Pacemaker Research - Gastroplasty Research - Restrictive Malabsorptive Surgery - Restrictive Surgery Risk - Weight Loss Surgery Results - Reverse Abdominoplasty - Roux-en-y-Bypass Benefits - Roux-en-y-Gastric Bypass Surgeries - Roux-en-y-Bypass Guidelines - Semi Liquid Diet Bypass Surgery - Semi Solid Diet Bypass Surgery - Bariatric Statistics - Cosmetic Surgery Statistics - Plastic Surgery Statistics - Weight Loss Surgery Statistics - Stomach Stapling Follow-up - Stomach Stapling Weight Loss - Superwet Liposuction - Obesity Surgical Reduction - Obesity Treatment - Ultrasound Liposuction - Vertical Gastrectomy - When to have Plastic Surgery|
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. © 2003-2018 Bariatric-Surgery.Info - Terms - Contact - Information - Resources