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Some complications after laparoscopic nonadjustable gastric banding
M Kasalicky1, M Fried, M Peskova
1First Surgical Department, Faculty General Hospital, Charles University, Prague, Czech Republic.
Obesity Surgery
|December 22, 1999
Summary
Laparoscopic nonadjustable gastric banding (LNGB) is an effective bariatric surgery for morbid obesity. This study found LNGB to be a viable method with low morbidity when performed by experienced surgeons.
Area of Science:
- Bariatric surgery
- Laparoscopic surgery
- Obesity treatment
Background:
- Morbid obesity requires effective long-term management.
- Bariatric surgery is the only effective long-term solution.
- Gastric banding is a reversible laparoscopic bariatric procedure.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic nonadjustable gastric banding (LNGB).
- To assess complication rates and management strategies for LNGB.
Main Methods:
- 487 morbidly obese patients (BMI 34-49 kg/m2) underwent LNGB between 1993-1998.
- 429 females and 58 males were included in the study.
- Data collected on early and late postoperative complications.
Main Results:
- Early complications (5.9%) included mucosal swelling, gastric perforations (0.6%), and bleeding (0.4%).
- Late complications (1.7%-4.9%) involved gastritis, pouch dilatation, and band slippage.
- Major complications requiring reoperation occurred in 3.2% of patients.
Conclusions:
- LNGB performed by experienced surgeons is a viable bariatric procedure with low morbidity.
- Conservative management was effective for most complications.
- Overall complication rates were acceptable for long-term obesity control.