Laparoscopic gastric banding for morbid obesity: surgical outcomes in 335 cases

Fielding, G. A., Rhodes, M. and Nathanson, L. K. (1999) Laparoscopic gastric banding for morbid obesity: surgical outcomes in 335 cases. Surgical Endoscopy, 13 6: 550-554. doi:10.1007/s004649901038


Author Fielding, G. A.
Rhodes, M.
Nathanson, L. K.
Title Laparoscopic gastric banding for morbid obesity: surgical outcomes in 335 cases
Journal name Surgical Endoscopy   Check publisher's open access policy
ISSN 0930-2794
Publication date 1999
Sub-type Article (original research)
DOI 10.1007/s004649901038
Volume 13
Issue 6
Start page 550
End page 554
Total pages 5
Place of publication New York
Publisher Springer Verlag
Collection year 1999
Language eng
Subject C1
321029 Surgery
730109 Surgical methods and procedures
Formatted abstract
Background:
Morbid obesity occurs in 2-5% of the population of Europe, Australia, and the United States and is becoming more common. Open surgical techniques, such as vertical banded gastroplasty and other divisional procedures in the stomach, have led to long-term weight reduction as well as an amelioration of the attendant medical problems in approximately two- thirds of patients.

Materials and methods:
A total of 335 patients with a median age of 41 years underwent gastric banding. We emphasized the need for long-term maintenance and follow-up. The indications for surgery comprised a body mass index >35, a stated desire to undergo the procedure, and a full understanding of all possible complications.

Results:
All patients have needed band adjustments of 1-4 ml over the course of their follow-up. No patient had increased his or her weight during the follow-up, and only three patients have not enjoyed sustained weight loss.

Conclusions:
Laparoscopic gastric banding has much to recommend it. Certainly in the short term, its results in terms of effectiveness of weight loss are at least as good as those of any open procedure. Longer follow-up will show whether this weight loss is maintainable. The procedure is technically demanding, and the major prerequisite of satisfactory performance of this surgery is laparoscopic experience.
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 10 Jun 2008, 14:13:03 EST