Adjustable Silicone Gastric Banding (ASGB): the Italian experience

Franco Favretti, Giuliano Enzi, Ernesto Pizzirani, Gianni Segato, Claudio Belluco, Paolo Pigato, Luca Busetto, Francesco De Marchi, Mario Lise

Research output: Contribution to journalArticlepeer-review


Adjustable silicone gastric banding (ASGB) is a recently introduced gastric restrictive procedure. From April 1990 to April 1992, 85 patients underwent ASGB at our Department. Patients' characteristics were: 65 females, 20 males, mean age 39.6 years (range 17-60 years); body weight (BW) 127.9 ± 23 kg; % ideal body weight (%IBW) 205 ± 29; body mass index (BMI) 46 ± 7; morbidly obese 68, super-obese 17. Mean follow-up is 353 days. Twelve months after the operation BW was 95.2 ± 23 kg, % loss of excess BW 52.1 ± 22, and %IBW 152.2 ± 30 (45 patients). Mortality rate was zero and postoperative morbidity was insignificant. As late morbidity, we experienced two slippages of the band and six stoma-stenosis with pouch dilatation. Therefore, a surgical revision without removal of the band was performed in eight patients. The band was removed in one patient because of band erosion. In conclusion, ASGB is a safe and effective bariatric procedure. The weight loss is comparable to that produced by more extensive operations. Moreover, ASGB is fully reversible and adjustable to the patients' needs.

Original languageEnglish
Pages (from-to)53-56
Number of pages4
JournalObesity Surgery
Issue number1
Publication statusPublished - 1993


  • Gastric banding
  • obesity
  • surgery

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Surgery
  • Nutrition and Dietetics

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