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Laparoscopic Adjustable Gastric Banding: Weight Loss & Complications

Laparoscope Assisted Stomach Banding Effective for Obesity

Bariatric Surgery - Bariatric Research Studies

Weight loss results and complications of laparoscopic adjustable gastric banding for the treatment of morbid obesity

This prospective study evaluated the effectiveness and safety of laparoscopic adjustable gastric banding (LAGB) for morbid obesity.

Method

Ninety-five consecutive patients (89 female; median age 38 years, range 19 to 69) underwent laparoscopic adjustable gastric banding for morbid obesity. Median weight and body mass index were 123.2 (88.9 to 228.6) kg and 45 (32.7-76.4) kg/m(2) respectively. Significant coexistent disease was present in 52 (55%) patients.

Results

Median excess weight loss was 53% (range 96.9% to 12.1%) and 62% (range 107.5% to 32.3%) at 1 and 2 years respectively. Median operative time was 90 (range 35 to 285) minutes and inpatient stay 2 (range 1 to 10) days. Early complications were seen in 17 (18%) patients most commonly nausea/vomiting or dysphagia. Late complications were seen in 25 (26.3%) patients, most frequently vomiting or reflux due to band slippage or pouch dilatation. There was 1 (1%) operative death.

Conclusion

Laparoscopic adjustable gastric banding is an effective operation for morbid obesity that results in equivalent weight loss to open surgical procedures.

Source:
Evans JD, Scott MH, Brown AS, Rogers J. Department of Surgery, Whiston Hospital, Merseyside, UK.

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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