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Laparoscopic Vertical Banded Gastroplasty Long-Term Therapy for Morbidly Obese Patients

Review of Laparoscope-Assisted Gastroplasty to Reduce Obesity

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Laparoscopic Vertical Banded Gastroplasty - An Effective Long-Term Therapy for Morbidly Obese Patients

Vertical banded gastroplasty has previously been documented as an effective treatment for morbid obesity. We have described a laparoscopic technique to perform this operation. Follow-up data are now presented.

Method

A consecutive series of 139 morbidly obese patients were operated on with laparoscopic Vertical banded gastroplasty. The patients were assessed with respect to peri- and postoperative morbidity, postoperative recovery and weight reduction up to 5 years thereafter.

Results

Conversions to an open operation (n = 6) and early reoperations (n = 3) occurred in the early part of the series. Late complications were observed in 8 patients. The average weight reduction after 1 year was 50% of excess body weight, which remained also after 2 years. The continued follow-up covering 3 to 5 years postoperatively revealed a moderate weight gain in about 20% of patients.

Conclusion

Vertical banded gastroplasty can be safely performed by use of the laparoscopic technique. The average weight reduction after 1 and 2 years was 50% of excess body weight, whereafter tendency to partial weight gain was noted, suggesting an outcome comparable to that documented after the open surgical approach.

Source:
Olbers T, Lonroth H, Dalenback J, Haglind E, Lundell L. Department of Surgery, Sahlgrenska University Hospital, Frolunda Specialist Hospital, Gothenburg, Sweden. 2001

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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