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Bariatric Analysis and Reporting Outcome System (BAROS): Laparoscopic Adjustable Banding
BAROS Review of Swedish Adjustable Gastric Band
Bariatric Analysis and Reporting Outcome System (BAROS) following laparoscopic adjustable gastric banding in Finland
The reporting on outcome following bariatric procedures should include changes in comorbid conditions and quality of life (QOL), in addition to weight loss. The Bariatric Analysis and Reporting Outcome System (BAROS) appears to provide the means to fulfill these requests. We have re-evaluated our previously published, initial results of laparoscopic adjustable gastric banding, using BAROS.
Our first 60 consecutive patients were treated laparoscopically between the years 1996 and 1999, using the Swedish Adjustable Gastric Band (SAGB). After a minimum follow-up of > or = 17 months (median follow-up 28 months, range 17-61 months), a postal questionnaire concerning QOL, medical condition and excess weight loss (BAROS) was sent to the patients. In addition, the patients' opinion regarding the operation was evaluated as well as the extent that the band had caused the patients any of the more common side-effects.
87% of the patients returned the questionnaire properly answered. According to BAROS, the outcome was regarded as very good 12% of patients, good in 38%, fair in 29% and failure in 21%. Not one had an excellent outcome. 23% of the patients were disappointed with their operation. The incidence of band-related side-effects was high.
Our results are comparable with other published series including the learning curve. In our opinion, BAROS should be widely adopted.
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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