Abstract
Background: The authors investigated the postoperative management of morbidly obese patients treated by laparoscopic adjustable gastric banding (LAGB) with the Lap-Band® System. Methods: The 3-year postoperative band management is presented in 379 morbidly obese patients, divided according to intra-operative band filling and quartiles of maximum postoperative band filling. Results: LAGB resulted in a 40.8±24.5 percent excess weight loss (%EWL). Stoma stenosis occurred in 87 patients (23.0%), pouch dilatation in 52 (13.7%) and esophageal dilatation in 22 (5.8%). Most band-related complications were controlled by simple band deflation. The mean number of postoperative band adjustments was 2.3±1.7, and mean maximum band filling after surgery was 2.8±1.2 ml. Weight loss at 3 years was identical in 205 patients who had the band completely unfilled at surgery and in 174 patients who had the band filled with 1 to 3 ml of sterile saline. The rate of band-related complications was significantly lower in the first group. No differences in %EWL were observed between quartiles of maximum band filling after surgery. The rate of band-related complications increased with increasing levels of postoperative maximum band filling. In patients with the band filled with
| Original language | English |
|---|---|
| Pages (from-to) | 121-127 |
| Number of pages | 7 |
| Journal | Obesity Surgery |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 1 2003 |
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Keywords
- Bariatric surgery
- Complications
- Gastric banding
- Laparoscopy
- Morbid obesity
- Weight loss
ASJC Scopus subject areas
- Surgery
Cite this
Postoperative management of laparoscopic gastric banding. / Busetto, Luca; Segato, Gianni; De Marchi, Francesco; Foletto, Mirto; De Luca, Maurizio; Favretti, Franco; Enzi, Giuliano.
In: Obesity Surgery, Vol. 13, No. 1, 01.02.2003, p. 121-127.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Postoperative management of laparoscopic gastric banding
AU - Busetto, Luca
AU - Segato, Gianni
AU - De Marchi, Francesco
AU - Foletto, Mirto
AU - De Luca, Maurizio
AU - Favretti, Franco
AU - Enzi, Giuliano
PY - 2003/2/1
Y1 - 2003/2/1
N2 - Background: The authors investigated the postoperative management of morbidly obese patients treated by laparoscopic adjustable gastric banding (LAGB) with the Lap-Band® System. Methods: The 3-year postoperative band management is presented in 379 morbidly obese patients, divided according to intra-operative band filling and quartiles of maximum postoperative band filling. Results: LAGB resulted in a 40.8±24.5 percent excess weight loss (%EWL). Stoma stenosis occurred in 87 patients (23.0%), pouch dilatation in 52 (13.7%) and esophageal dilatation in 22 (5.8%). Most band-related complications were controlled by simple band deflation. The mean number of postoperative band adjustments was 2.3±1.7, and mean maximum band filling after surgery was 2.8±1.2 ml. Weight loss at 3 years was identical in 205 patients who had the band completely unfilled at surgery and in 174 patients who had the band filled with 1 to 3 ml of sterile saline. The rate of band-related complications was significantly lower in the first group. No differences in %EWL were observed between quartiles of maximum band filling after surgery. The rate of band-related complications increased with increasing levels of postoperative maximum band filling. In patients with the band filled with
AB - Background: The authors investigated the postoperative management of morbidly obese patients treated by laparoscopic adjustable gastric banding (LAGB) with the Lap-Band® System. Methods: The 3-year postoperative band management is presented in 379 morbidly obese patients, divided according to intra-operative band filling and quartiles of maximum postoperative band filling. Results: LAGB resulted in a 40.8±24.5 percent excess weight loss (%EWL). Stoma stenosis occurred in 87 patients (23.0%), pouch dilatation in 52 (13.7%) and esophageal dilatation in 22 (5.8%). Most band-related complications were controlled by simple band deflation. The mean number of postoperative band adjustments was 2.3±1.7, and mean maximum band filling after surgery was 2.8±1.2 ml. Weight loss at 3 years was identical in 205 patients who had the band completely unfilled at surgery and in 174 patients who had the band filled with 1 to 3 ml of sterile saline. The rate of band-related complications was significantly lower in the first group. No differences in %EWL were observed between quartiles of maximum band filling after surgery. The rate of band-related complications increased with increasing levels of postoperative maximum band filling. In patients with the band filled with
KW - Bariatric surgery
KW - Complications
KW - Gastric banding
KW - Laparoscopy
KW - Morbid obesity
KW - Weight loss
UR - http://www.scopus.com/inward/record.url?scp=0037330485&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0037330485&partnerID=8YFLogxK
U2 - 10.1381/096089203321136719
DO - 10.1381/096089203321136719
M3 - Article
C2 - 12630626
AN - SCOPUS:0037330485
VL - 13
SP - 121
EP - 127
JO - Obesity Surgery
JF - Obesity Surgery
SN - 0960-8923
IS - 1
ER -