Adjustable Silicone Gastric Banding Not Effective as Obesity Surgery
About Silicone Stomach Banding
| Bariatric Surgery information Adjustable Silicone Gastric Banding Not Effective as Obesity Surgery |
About Silicone Stomach Banding |
| Long-Term Data Indicate A Progressive Loss In Efficacy Of Adjustable Silicone Gastric Banding For The Surgical Treatment Of Morbid Obesity Many short-term follow-up reports on the efficacy of the adjustable silicone gastric band (ASGB) and its modification for laparoscopic insertion (Lap-Band) for the surgical treatment of morbid obesity have been reported in the surgical literature. However, long-term studies are lacking. Method Between March 1992, and January 1997, 45 females and 17 males consecutively entered this prospective study. Forty adjustable silicone gastric band and 22 Lap-Band were implanted. Mean age was 34 years (range 19-51); mean height was 171 cm (range 152-190); mean weight was 145 kg (range 100-214). Weight loss and adverse events associated with the device were observed over time. Results There was no operative mortality. Thirty intra-abdominal reoperations were necessary to correct complications related to the implanted ASGB and the Lap-Band. In the ASGB cohort, the body mass index (BMI) decreased from 50 to 36 over a 3-year period and then increased to 44 at 8 years after operation. In the Lap-Band cohort the BMI decreased from 47 to 40 at 1 year and then increased to 43 at 6 years after operation. Twenty-seven implantable devices (18 ASGB, 9 Lap-Band) have been removed to date. Conclusion The results of this study do not support the use of adjustable silicone gastric band devices for the surgical treatment of morbid obesity. The Lap-Band is less effective than ASGB. Source: Surgery to Reduce Obesity |