Review of Laparoscopic Lap Band Operation For Severe Clinical Obesity

Weight Loss Surgery Information - Bariatric Research Studies

Video-laparoscopic placement of adjustable gastric banding (lap-band) in the treatment of
morbid obesity. Preliminary weight loss results after 407 interventions

Morbid obesity is the most frequent nutritional disorder in developed countries. Bariatric surgery is one option for the definitive treatment of this disorder. We present 407 patients who underwent implantation of adjustable silicone gastric banding. Ninety-four percent of the patients were satisfied with the procedure and its results.

Method

We performed a retrospective study in the Surgery Department of the Nordwestkrankenhaus teaching hospital of the University of Frankfurt. From April 1996 to January 2000 we performed laparoscopic placement of adjustable silicone gastric banding in 407 patients, using Kuzmak's technique. Mean body mass index was 49.1 and mean weight was 139.2 kg. We describe the patient selection method and provide a detailed description of the technique and its possible problems.

Results

There was no operative or postoperative mortality. None of the patients required conventional surgery. Mean operating time was 62 minutes (including operating times during the learning period). Mean hospital stay was 5 days. We performed 24 (5,89%) reinterventions: 11 for displacement, 2 for erosion, 4 for infection of the reservoir, 2 due to review of the reservoir to prevent penetration and 4 due to dilatations of the pouch (changing the banding from a retrogastric to a retroesophageal position); one patient requested removal of the banding. Follow-up was performed at months 1, 6, 9 and 12. Mean weight loss was 28 kg at 6 months and 54 kg at 1 year. Mean weight loss in patients followed-up for 2 years was 58 kg. A total of 94.9% of the patients were satisfied with the procedure.

Conclusions

Laparoscopic implantation of adjustable gastric banding (Lap-Band) combines the aims of conventional gastroplasty with the advantages of laparoscopic surgery in terms of postoperative morbidity and minimal invasiveness.

Source:
Blanco Engert R, Gascon M, Weiner R, Rosenthal R, Brasesco O, Wagner D, Martin Esteban M, Bockhorn H. Departamento de Cirugia General, Hospital Nordwest Francfort del Meno, Alemania. 2001

Laparoscopic Bariatric Weight Loss Surgery

BARIATRIC SURGERY INFORMATION
What Is Weight Loss Surgery | How to Qualify | Types Of Surgical Operation | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery
Success Rates | Health Benefits | Complications | Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass
Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Risks | Duodenal Switch Bypass | Duodenal Switch Details
Duodenal Switch Benefits/ Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Risks
Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers
Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details
Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling
Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment
Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Statistics
Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Health Complications | Nutrition after Bypass | Psychosocial Factors
Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy
Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Information | Cosmetic Surgery | Lipoplasty
Types | Health Risks of Liposuction | Tumescent Method | Butt | Inner Thighs | Front Thighs | Cost | Information About Lipoplasty

Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL