Laparoscopic vertical banded gastroplasty--an effective long-term therapy for morbidly obese patients?

Abstract:

BACKGROUND:Vertical banded gastroplasty (VBG) 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. METHODS:A consecutive series of 139 morbidly obese patients were operated on with laparoscopic VBG. 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:VBG 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.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Olbers T,Lönroth H,Dalenbäck J,Haglind E,Lundell L

doi

10.1381/09608920160558669

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

726-30

issue

6

eissn

0960-8923

issn

1708-0428

journal_volume

11

pub_type

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