Results and Complications of Laparoscopic Adjustable Gastric Banding – 12 Years Experience

Česká verzia

Authors: S. Černý; J. Kopic
Authors place of work: Chirurgické oddělení Nemocnice Na Františku, Praha, primář MUDr. S. Černý
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 7, s. 427-432.
Category: Monothematic special - Original

Summary

Introduction:
Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic adjustable gastric banding (LAGB) is that this operation is minimally invazive to the stomach and adjustable to the patient’s needs.

Aim:
Few long-term studies regarding the outcome of LAGB for morbid obesity have so far been publised. We report our 12-year experience with this method.

Patients and methods:
On list of 100 patients (76% women, 24% men) operated since February 1998 until December 2006 we present results and complications, reoperations. Mean follow up was 5.2 years (0.5–11.8). Patients lost to follow up was 22% at 5 years and 33% at 8 years. Complications occurred in 38% patients. 12% of the patients needed reoperation. There was no mortality.

Conclusion:
From our 12-year experience, we can state that LAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according specific criteria and choose experienced bariatric surgery.

Key words:
morbid obesity – bariatric surgery – laparoscopic adjustable gastric banding

Zdroje

1. Heiner, V., Kunešová, M., et al. Obesita. Praha, Galén, 1997: 7–16.

2. Fried, M., Pešková, M., Kasalický, M. Bariatric Surgery in Some Central and East-European /former Eastern block/ Countries-Current Status and Prediction for the next Millenium. Obes. Surg., 2000; 10: 255–258.

3. Buchwald, H., Oien, M. Metabolic /Bariatric Surgery Worldwide 2008. Obes. Surg., 2009; 19: 1605–1611.

4. Kuzmak, L. Stoma Adjustable Silicone Gastric Banding. Problems in General Surgery. June, 1992; 9: 298–317.

5. Černý, S., Chaloupka, F. Laparoscopic non-adjustable gastric banding vs. laparoscopic adjustable gastric banding in patients with similar degree of obesity. Abstract of 11th World Congress of IFSO, 30 August–2 September, 2006; Sydney, Australia: 1003.

6. Černý, S. Laparoscopic non-adjustable gastric banding vs. laparoscopic adjustable gastric banding:10 year experience. Abstract of 17th International Congress of the EAES, 17–20 June, 2009; Praha: 193.

7. Keidar, A., Carmon, E., Szold, A., Abu-Abeid, S. Port complications following laparoscopic adjustable gastric banding for morbid obesity. Obes. Surg., 2005; 15: 361–365.

8. Latuada, E., Zappa, M., Mozzi, E., Ilaria, A., Boati, P., Roviaro, C.: Injection port and connecting tube complications after laparoscopic adjustable gastric banding. Obes. Surg., 2010; 20: 410–414.

9. Belachew, M., Legrand, M., Vincent, V., et al. Laparoscopic placement of adjustable silicone gastric band in the treatment of morbid obesity:how to do it. Obes. Surg., 1995; 5: 66–70.

10. Mittermair, R., Weiss, H., Nehoda, H., et al. Laparoscopic Swedish adjustable gastric banding-6 year follow-up and comparison to other laparoscopic bariatric procedures. Obes. Surg., 2003; 13: 412–417.

11. Biagini, J., Karam, L. Ten years experience with laparoscopic adjustable gastric banding. Obes. Surg., 2008; 18: 573–577.

12. Kasalický, M., Michalský, D. Dlouhodobé zkušenosti s adjustabilní gastrickou bandáží. Rozhl. Chir., 2005; 6: 314–319.

13. Chevalier, J. M., Zinzindohoue, F., Douard, R., et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1000 patients over 7 years. Obes. Surg., 2004; 14: 407–414.

14. Harper, J., Madan, A., Temovits, C., Tichanski, D. What happens to patients who do not follow-up after bariatric surgery? Am. Surg., 2007; 73: 181–184.

15. Martikainen, T., Pirinen, E., Alhava, E., et al. Long term results,late complications and quality of life in a series of adjustable gastric banding. Obes. Surg., 2004; 14: 648–654.

16. Tolonen, P., Victorzon, M., Makela, J. 11-year experience with laparoscopic adjustable gastric banding for morbid obesity – what happened to the first 123 patients? Obes. Surg., 2008; 18: 251–255.

17. Suter, M., Calmes, J., Paroz, A., Giusti, V. A 10-year experience with laparoscopic gastric banding for morbid obesity:high long- term complication and failure rates. Obes. Surg., 2006; 16: 829–835.

18. Gutschow, C. A., Collet, P., Prenzel, K., et al. Long term results and gastroesophageal reflux in a series of laparoscopic adjustable gastric banding. J. Gastrointest. Surg., 2005; 9: 941–948.

19. Westling, A., Bjurling, K., Ohrvall, M., et al. Silicon adjustable gastric banding:disappointing results. Obes. Surg., 1998; 8: 467–474.