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Laparoscopic adjustable gastric band: first experience in Slovakia
P Holéczy1, J Payer, A Králová
1Surgical Department of Railway Hospital, Bratislava, Slovakia. hlavny_lekar@zsr.sk
Obesity Surgery
|May 26, 1999
Summary
Laparoscopic adjustable gastric banding is a safe and effective bariatric surgery for obesity, showing significant early weight loss in Slovak patients. This procedure offers a viable option for weight management.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Management
Background:
- Introduction of laparoscopic adjustable gastric banding in Slovakia, a procedure previously unavailable.
- Leveraging 7 years of laparoscopic surgical experience for obesity surgery.
- Initial preparation through specialized workshops for the surgical team.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic adjustable gastric banding in a Slovak cohort.
- To assess early weight loss outcomes and patient tolerance.
- To establish bariatric surgical practice in Slovakia.
Main Methods:
- 14 laparoscopic adjustable gastric banding procedures performed between December 1997 and May 1998.
- Patient cohort: 8 women, 6 men; age 30-53 (mean 43); BMI 37-56 (average 46.2).
- Utilized a five-trocar technique with an average operating time of 145.3 minutes and hospital stay of 4.8 days.
Main Results:
- Significant initial weight loss of 9-15 kg in the first month, followed by 3-4 kg monthly.
- Two patients experienced intraoperative hemorrhage; one required reoperation due to band obstruction from vomiting.
- No band adjustments were needed in the early follow-up period.
Conclusions:
- Laparoscopic adjustable gastric banding demonstrates safety and good patient tolerance in this initial series.
- The procedure achieves sufficient early weight loss for obese patients.
- Establishes a foundation for advanced bariatric surgery in Slovakia.