Related Experiment Videos
Adjustable gastric banding: 5-year experience.
S B Doldi1, G Micheletto, E Lattuada
1Istituto Clinico Sant' Ambrogio, Milan, 20149 Italy.
Obesity Surgery
|April 27, 2000
Summary
Adjustable silicone gastric banding (ASGB) provided significant excess weight loss (62.5%) at three years with no mortality. Complications were manageable, with gastric pouch dilatation being the most common technical issue.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Study evaluated 172 patients undergoing adjustable silicone gastric banding (ASGB) or laparoscopic ASGB between 1993-1999.
- Procedures were performed via laparoscopy or laparotomy, with a 9.3% conversion rate from laparoscopy to laparotomy early in the experience.
Purpose of the Study:
- To assess the efficacy and safety of adjustable silicone gastric banding (ASGB) in bariatric surgery.
- To report on weight loss outcomes and complication rates associated with ASGB.
Main Methods:
- Retrospective analysis of 172 patients who underwent ASGB or laparoscopic ASGB.
- Patients received routine follow-up, band adjustments, and supportive therapies.
Main Results:
- At 3 years, patients achieved 30.2% total weight loss and 62.5% mean excess weight loss.
- No mortality was observed. Key complications included gastric pouch dilatation (5.8% requiring intervention, 4.6% reversible), gastric perforation (2.3%), and band migration (0.6%).
Conclusions:
- Adjustable silicone gastric banding (ASGB) demonstrated satisfactory results in terms of weight loss.
- The procedure showed a manageable complication profile, supporting its efficacy in bariatric surgery.