|Bariatric Surgery information |
Failure Rate of Laparoscopic Adjustable Silicone Gastric Banding for Morbid Obesity
Laparoscopy Silicone Stomach Banding Not Effective For Surgical Treatment of Obesity
Failure Rate After Laparoscopic Adjustable Silicone Gastric Banding for Treatment of Morbid Obesity
To report the results from one of the eight original U.S. centers performing laparoscopic adjustable silicone gastric banding, a new minimally invasive surgical technique for treatment of morbid obesity. Laparoscopic adjustable silicone gastric banding is under evaluation by the Food & Drug Administration in the United States in an initial cohort of 300 patients.
Of 37 patients undergoing laparoscopic placement of the Laparoscopic adjustable silicone gastric banding device, successful placement occurred in 36 from March 1996 to May 1998. Patients have been followed up for up to 4 years.
Five patients (14%) have been lost to follow-up for more than 2 years but at last available follow-up (3-18 months after surgery) had achieved only 18% (range 5-38%) excess weight loss. African American patients had poor weight loss after Laparoscopic adjustable silicone gastric banding compared with whites. The Laparoscopic adjustable silicone gastric banding devices were removed in 15 (41%) patients 10 days to 42 months after surgery. Four patients underwent simple removal; 11 were converted to gastric bypass. The most common reason for removal was inadequate weight loss in the presence of a functioning band. The primary reasons for removal in others were infection, leakage from the inflatable silicone ring causing inadequate weight loss, or band slippage. The patients with band slippage had concomitant poor weight loss. Bands were removed in two others as a result of symptoms related to esophageal dilatation. In 18 of 25 patients (71%) who underwent preoperative and long-term postoperative contrast evaluation, a significantly increased esophageal diameter developed; of these, 13 (72%) had prominent dysphagia, vomiting, or reflux symptoms. Of the remaining 21 patients with bands, 8 currently desire removal and conversion to gastric bypass for inadequate weight loss. Six of the remaining patients have persistent morbid obesity at least 2 years after surgery but refuse to undergo further surgery or claim to be satisfied with the results. Overall, only four patients achieved a body-mass index of less than 35 and/or at least a 50% reduction in excess weight. Thus, the overall need for band removal and conversion to GBP in this series will ultimately exceed 50%.
The authors did not find Laparoscopic adjustable silicone gastric banding to be an effective procedure for the surgical treatment of morbid obesity. Complications after Laparoscopic adjustable silicone gastric banding include esophageal dilatation, band leakage, infection, erosion, and slippage. Inadequate weight loss is common, particularly in African American patients. More study is required to determine the long-term efficacy of the Laparoscopic adjustable silicone gastric banding
|Adjustable Gastric Banding UK - After Lap-Band Surgery - Band Repositioning Slippage - Long Term Effects Gastric Banding - BAROS) Laparoscopic Gastric Banding - Lap-Band Weight Loss Surgery Effects - Esophagogastric Banding - Gastric Banding Grade 3 Obesity - Gastric Banding Older Obese Patients - Laparoscopic Adjustable Gastric Banding UK - Gastroplasty Conversion - Homocysteine Levels Folate B12 - Laparoscopic Adjustable Gastric Banding Morbid Obesity - Laparoscopic Adjustable Band - Laparoscopic Gastric Banding Side Effects - Laparoscopic Banding Surgical Technique - Laparoscopic Lap-Band Outcomes - Laparoscopic Gastric Lap-Band Trial - Laparoscopic Silicone Gastric Banding Operation - Radiological Imaging After Banding - Revision of Failed Gastric Bariatric Operations - Silicone Gastric Banding Failure Rate - Visceral Subcutaneous Fat - Dietary Changes After Gastroplasty - Duodenal Switch Dyslipoproteinemia - Gastroplasty Eating Behavior - Gastrointestinal Quality of Life - Hand Assisted Laparoscope VGB - Laparoscopic Gastroplasty - Laparoscopic Stapling - Vertical Banded Gastroplasty Results - Mason-MacLean Gastroplasty - Non-Adjustable Silicone Ring - Open Versus Laparoscopic Gastroplasty - Patient Compliance Gastroplasty - Peptide YY After Gastroplasty - Personality Profiles Obese Patients - Pre-Operative Resting Weight Loss - Weight Loss After Gastroplasty - Back Pain After Gastroplasty - Bariatric Follow-up Outcomes - Binge Eating Disorder Bariatrics - Bone Mass After Gastric Bypass - Bone Metabolism Gastroplasty - Gastric Bypass Venous Stasis - Gastric Surgery Insulin Effects - Weight Loss Surgery Sleep Apnea - Weight Loss Surgery Free Radical Antioxidants - Gastroplasty Diabetes Dyslipidemia - Insulin Tolerance in Bariatric Surgery Patients - Laparoscopic Gastroplasty Study - Nutritional Complications Gastric Bypass - Obesity-Associated Disorders - Orthostatic Hypotension - Gastric Bypass Health Improvements - Predictors of Complication after Roux-en-Y Bypass - Pseudo-Achalasia Gastric Banding - Gastric Acid Secretion Reduction in Bariatric Surgery - Roux-en-Y Gastric Bypass Evaluation - Predicting Success After Roux-en-Y - Psychiatric Diagnosis Gastric Surgery - Psychopathological Status After Weight Loss - Psychosocial Factors Weight Loss After Bariatric Surgery - Quality of Life After Weight Loss Surgery - Socio-economic Characteristics Obesity Surgery - Large Volume Liposuction Effects - Weight Loss Surgery Reoperations - Laparoscopic Reoperative Surgery - Weight Loss After Gastric Surgery - Pregnancy after Gastric Banding - Pregnancy after Lap-Band Surgery - Weight Loss Co-Morbid Conditions - Weight Loss After Bariatric 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. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources