Laparoscopic banding: Selection and technique in 830 patients

F. Favretti, G. B. Cadière, G. Segato, J. Himpens, M. De Luca, L. Busetto, F. De Marchi, M. Foletto, D. Caniato, M. Lise, G. Enzi

Research output: Contribution to journalArticle

Abstract

Background: Laparoscopic adjustable gastric banding (LAGB) with the Lap-Band® has been our first choice operation for morbid obesity since September 1993. Results in terms of complications and weight loss are analyzed. Methods: 830 consecutive patients (F 77.9%) underwent LAGB. Initial body weight was 127.9 ± SD 23.9 kg, and body mass index (BMI) was 46.4 ± 7.2 kg/m2. Mean age was 37.9 (15-65). Steps in LAGB were: 1) establishment of reference points for dissection (equator of the balloon inflated with 25 cc air and left crus); 2) creation of a retrogastric tunnel above the bursa omentalis; 3) creation of "virtual" pouch; 4) embedding the band. Results: Mortality was 0, conversion 2.7%, and follow-up 97%. Major complications requiring reoperation developed in 3.9% (36 patients). Early complications were 1 gastric perforation (requiring band removal) and 1 gastric slippage (requiring repositioning). Late complications included 17 stomach slippages (treated by band repositioning in 12 and band removal in 5), 9 malpositions (all treated by band repositioning), 4 gastric erosions by the band (all treated by band removal), 3 psychological intolerance (requiring band removal), and 1 HIV positive (band removed). A minor complication requiring reoperation in 91 patients (11%) was reservoir leakage. 20% of patients who had % excess weight loss

Original languageEnglish
Pages (from-to)385-390
Number of pages6
JournalObesity Surgery
Volume12
Issue number3
DOIs
Publication statusPublished - 2002

Keywords

  • Bariatric surgery
  • Complications
  • Gastric banding
  • Laparoscopy
  • Morbid obesity
  • Weight loss

ASJC Scopus subject areas

  • Surgery

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