Laparoscopic adjustable gastric banding: surgical and radiological approach

Zacharoulis, D., Roy-Chadhury, S. H., Dobbins, B., Kumar, H., Goutzamani, E., Boyle, C. J. O., Sedman, P. C. and Royston, C. M. S. (2002) Laparoscopic adjustable gastric banding: surgical and radiological approach. Obesity Surgery, 12 2: 280-284. doi:10.1381/096089202762552511

Author Zacharoulis, D.
Roy-Chadhury, S. H.
Dobbins, B.
Kumar, H.
Goutzamani, E.
Boyle, C. J. O.
Sedman, P. C.
Royston, C. M. S.
Title Laparoscopic adjustable gastric banding: surgical and radiological approach
Journal name Obesity Surgery   Check publisher's open access policy
ISSN 0960-8923
Publication date 2002-04
Sub-type Article (original research)
DOI 10.1381/096089202762552511
Open Access Status Not Open Access
Volume 12
Issue 2
Start page 280
End page 284
Total pages 5
Place of publication New York, NY United States
Publisher Springer New York
Language eng
Formatted abstract
Background:The laparoscopically-placed adjustable gastric band (LAGB) is a minimally invasive, adjustable and completely reversible operation. We report 3 years experience. Methods: Between May 1998 and January 2001, we operated on a consecutive series of 50 patients (8 male/42 female). Mean age of patients was 37 years (30-48). Mean preoperative BMI was 43 kg/m2 (range 38-55). Results: Mean operative time was 130 minutes (range 75-150), and the conversion rate was 6%. Mean hospital stay was 2.8 days (range 2-10). Postoperatively, 7/50 (14%) of patients had dysphagia and subsequently 2 (4%) developed gastric pouch dilatation. 2/50 (4%) had non-fatal pulmonary embolism and 2/50 (4%) developed gastroesophageal reflux. Overall morbidity was 32%. There has been no mortality. 6 weeks postoperatively, patients had adjustment of the band by the radiologists. Follow-up has been up to 30 months. Mean excess weight loss at 6 months was 30% (range 26-35%, N=50), at 12 months 52% (range 44-55%, N=42), at 24 months 60% (range 55-65%, N=14) and at 30 months 62% (range 58-64%, N=8). 5 patients have reached their ideal body weight. Conclusions: LAGB is safe and effective, even early in the learning curve. The radiologist plays a distinct role. A multi-disciplinary team approach is essential for optimal results. Long-term results are pending.
Keyword Morbid obesity
Bariatric surgery
Gastric banding device
Surgical complications
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 16 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 19 times in Scopus Article | Citations
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