Results and Complications of Laparoscopic Adjustable Gastric Banding – 12 Years Experience

Czech version

Authors: S. Černý; J. Kopic
Authors‘ workplace: Chirurgické oddělení Nemocnice Na Františku, Praha, primář MUDr. S. Černý
Published in: Rozhl. Chir., 2010, roč. 89, č. 7, s. 427-432.
Category: Monothematic special - Original

Overview

Introduction:
Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic adjustable gastric banding (LAGB) is that this operation is minimally invazive to the stomach and adjustable to the patient’s needs.

Aim:
Few long-term studies regarding the outcome of LAGB for morbid obesity have so far been publised. We report our 12-year experience with this method.

Patients and methods:
On list of 100 patients (76% women, 24% men) operated since February 1998 until December 2006 we present results and complications, reoperations. Mean follow up was 5.2 years (0.5–11.8). Patients lost to follow up was 22% at 5 years and 33% at 8 years. Complications occurred in 38% patients. 12% of the patients needed reoperation. There was no mortality.

Conclusion:
From our 12-year experience, we can state that LAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according specific criteria and choose experienced bariatric surgery.

Key words:
morbid obesity – bariatric surgery – laparoscopic adjustable gastric banding

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