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Surgical Innovation
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Laparoscopic Adjustable Gastric Banding

G.B. Cadiere

Centre Hospitalier Universitaire Saint-Pierre, Brussels, Belgium

J. Himpens

Centre Hospitalier Universitaire Saint-Pierre, Brussels, Belgium

B. Hainaux

Centre Hospitalier Universitaire Saint-Pierre, Brussels, Belgium

Q. Gaudissart

Centre Hospitalier Universitaire Saint-Pierre, Brussels, Belgium

S. Favretti

Ospedale S. Bortolo, Vicenza, Italy

G. Segato

Ospedale S. Bortolo, Vicenza, Italy

The introduction of laparoscopic adjustable silicone gastric banding (LASGB) has recently revolutionized gastric restrictive procedures in the treatment of morbid obesity. We analysed the short and long term results of this minimally invasive bariatric procedure. A total of 652 patients with a body mass of (median) 45 kg/m2 were treated. There were only minor preoperative incidents. One patient died more than one month after the procedure. Early postoperative complications included 2 gastric perforations caused by a nasogastric tube and one early slipping of the band. Late complications occurred in 7% of the patients: 25 patients suffered a pouch dilation, 2 patients had gastric erosion by the band; 18 patients had port complications requiring reoperation. Loss of excess weight was 62% at 2 years. Laparoscopic adjustable gastric banding is a safe and effective treatment for morbid obesity. The most frequent complication is pouch dilation. Further study is warranted for the evaluation of long term results. Copyright 2002, Elsevier Science (USA). All rights reserved.

Key Words: Lap-Band • gastroplasty • laparoscopic obesity surgery.

Surgical Innovation, Vol. 9, No. 2, 105-114 (2002)
DOI: 10.1177/155335060200900205


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