Adjustable gastric banding: 5-year experience.

Abstract:

BACKGROUND:From 1993 to 1999, 172 patients underwent adjustable silicone gastric banding (ASGB) or laparoscopic adjustable silicone gastric banding (LASGB). In 109 patients the adjustable band was placed via laparoscopy; in the other patients it was placed via laparotomy (prelaparoscopic era, conversions from other bariatric operations, conversions for laparoscopic failure). The conversion rate from laparoscopy to laparotomy was 9.3%, occurring in the early part of our experience. METHODS:Mean age was 37.9 years, weight 135 +/- 14.8 kg (82-218) and BMI 46.3 +/- 5.4 (35.1-69.5). All patients had multiple band adjustments, temporary antisecretive, electrolyte and vitamin therapy, and follow-up per routine. RESULTS:Weight loss at 3 years was 30.2%; mean percent loss of excess weight was 62.5%. There was no mortality. The most important technical complications were: gastric pouch dilatation that required band replacement or removal (5.8 %); mild gastric pouch dilatation reversible with adequate dietary and pharmacological treatment (4.6%); intraoperative gastric perforation (2.3%); band migration (0.6%). The band was removed in 2.3%, with conversion to another bariatric procedure in 1.1%. CONCLUSIONS:Results have been satisfactory thus far.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Doldi SB,Micheletto G,Lattuada E,Zappa MA,Bona D,Sonvico U

doi

10.1381/096089200321668730

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

171-3

issue

2

eissn

0960-8923

issn

1708-0428

journal_volume

10

pub_type

临床试验,杂志文章
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    pub_type: 临床试验,杂志文章

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    pub_type: 临床试验,杂志文章

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