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Laparoscopic Adjustable Gastric Banding: Surgical/Radiological Approach

Review of Laparoscope-Assisted Stomach Band Bariatric Operations

Bariatric Surgery - Bariatric Research Studies

Laparoscopic Adjustable Gastric Banding: Surgical and Radiological Approach

The laparoscopically-placed adjustable gastric band (LAGB) is a minimally invasive, adjustable and completely reversible operation. We report 3 years experience.

Method

Between May 1998 and January 2001, we operated on a consecutive series of 50 patients (8 male/42 female). Mean age of patients was 37 years (30-48). Mean preoperative BMI was 43 kg/m2 (range 38-55).

Results

Mean operative time was 130 minutes (range 75-150), and the conversion rate was 6%. Mean hospital stay was 2.8 days (range 2-10). Postoperatively 7/50 (14%) of patients had dysphagia and subsequently 2 (4%) developed gastric pouch dilatation. 2/50 (4%) had non-fatal pulmonary embolism and 2/50 (4%) developed gastroesophageal reflux. Overall morbidity was 32%. There has been no mortality. 6 weeks postoperatively, patients had adjustment of the band by the radiologists. Follow-up has been up to 30 months. Mean excess weight loss at 6 months was 30% (range 26-35%, N = 50), at 12 months 52% (range 44-55%), at 24 months 60% (range 55-65%) and at 30 months 62% (range 58-64%). 5 patients have reached their ideal body weight.

Conclusion

Laparoscopically-placed adjustable gastric band is safe and effective, even early in the learning curve. The radiologist plays a distinct role. A multi-disciplinary team approach is essential for optimal results. Long-term results are pending.

Source:
Zacharoulis D, Roy-Chadhury SH, Dobbins B, Kumar H, Goutzamani E, Boyle CJ, Sedman PC, Royston CM. Department of Upper GI Surgery, Hull Royal Infirmary, Anlaby Road, East Yorkshire HU3 2JZ, UK. 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