Adjustable gastric banding: 5-year experience

被引:41
作者
Doldi, SB [1 ]
Micheletto, G [1 ]
Lattuada, E [1 ]
Zappa, MA [1 ]
Bona, D [1 ]
Sonvico, U [1 ]
机构
[1] Univ Milan, Ist Clin Sant Ambrogio, Cattedra Chirurg Gen, Ctr Farmacoterapia Malattie Metab & Nutr E Genove, I-20149 Milan, Italy
关键词
morbid obesity; laparoscopic surgery; adjustable gastric banding;
D O I
10.1381/096089200321668730
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: From 1993 to 1999, 172 patients underwent adjustable silicone gastric banding (ASGB) or laparoscopic adjustable silicone gastric banding (LASGB). In 109 patients the adjustable band was placed via laparoscopy; in the other patients it was placed via laparotomy (prelaparoscopic era, conversions from other bariatric operations, conversions for laparoscopic failure). The conversion rate from laparoscopy to laparotomy was 9.3%, occurring in the early part of our experience, Methods: Mean age was 37.9 years, weight 135 +/- 14.8 kg (82-218) and BMI 46.3 +/- 5.4 (35.1-69.5). All patients had multiple band adjustments, temporary antisecretive, electrolyte and vitamin therapy, and follow-upper routine. Results: Weight loss at 3 years was 30.2%; mean percent loss of excess weight was 62.5%. There was no mortality, The most important technical complications were: gastric pouch dilatation that required band replacement or removal (5.8 %); mild gastric pouch dilatation reversible with adequate dietary and pharmacological treatment (4.6%); intraoperative gastric perforation (2.3%); band migration (0.6%). The band was removed in 2.3%, with conversion to another bariatric procedure in 1.1%. Conclusions: Results have been satisfactory thus far.
引用
收藏
页码:171 / 173
页数:3
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