The Swedish Adjustable Gastric Band: Laparoscopic technique and preliminary results

Background: The laparoscopic technique for the Swedish Adjustable Gastric Band (SAGB) has been developed based on the previously established open technique. Methods: From March 1996-June 1997, laparoscopic SAGE was attempted in 85 consecutive obese patients (77 women and 8 men), The average preoperative BMI was 44 (34-59). Results: All operations except one were completed by laparoscopy. One patient had to be converted because of unfavorable anatomic conditions. The average operating time was 40 minutes. There were no immediate perioperative complications. All patients were followed for 1 year. During this period 2 patients developed esophagitis and 3 patients experienced repeated vomiting, There were no other complications. At 1 year follow-up the average BMI was 33 (21-46). The excess weight loss was 54% (17-100%). Conclusion: Early results are encouraging. No significant complications related to the technique were registered. One-year weight loss was equal to what was achieved by open surgery. Laparoscopic SAGE will be established as an attractive alternative for surgical treatment of morbid obesity.