Laparoscopic Silicone Band Operation is Safe and Effective Treatment For Morbid Obesity

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Laparoscopic Adjustable Silicone Gastric Banding Weight Loss Surgery Operation

An increasing number of surgeons with different levels of experience with laparoscopic surgery and open obesity surgery have started to perform laparoscopic implantation of the Lap-Band.

Method

An electronic patient data sheet was created and was mailed and e-mailed to all surgeons performing laparoscopic adjustable silicone gastric banding (LASGB) in Italy. Patients were recruited since January 1996. Data on 1,265 Lap-Band System operated patients (258 M/1,007 F; mean BMI 44.1, range 27.0-78.1; mean age 38, range 17-74 years) were collected from 23 surgeons performing this operation.

Results

Intra-operative mortality was absent. Post-operative mortality was 0.55% (7 patients) for causes not specifically related to laparoscopic adjustable silicone gastric banding implantation. The laparotomic conversion rate was 1.7% (22 patients). Laparoscopic adjustable silicone gastric banding related complications occurred in 143 patients (11.3%). Pouch dilatation was diagnosed in 65 (5.2%), and 28 (2.2%) of these underwent re-operation. Band erosion was observed in 24 patients (1.9%). Port or connecting tube-port complications occurred in 54 patients (4.2%), 12 of whom required revision under general anesthesia. Follow-up was obtained at 6, 12, 18, 24, 36 and 48 months, and mean BMI was respectively 38.4, 35.1, 33.1, 30.2, 32.1 and 31.5. The percentage of patients observed at each follow-up was > 60%. There was no intra-operative mortality and no complication-related mortality, with acceptable weight loss.

Conclusion

The laparoscopic adjustable silicone gastric banding operation is safe and effective, and deserves wider use for treatment of morbid obesity.

Source:
Angrisani L, Alkilani M, Basso N, Belvederesi N, Campanile F, Capizzi FD, D'Atri C, Di Cosmo L, Doldi SB, Favretti F, Forestieri P, Furbetta F, Giacomelli F, Giardiello C, Iuppa A, Lesti G, Lucchese M, Puglisi F, Scipioni L, Toppino M, Turicchia GU, Veneziani A, Docimo C, Borrelli V, Lorenzo M; Italian Collaborative Study Group for the Lap-Band System. LapClub-Fondazione IDIS, Via Coroglio 156, 80124 Naples, Italy. 2001

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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