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Adjustable gastric banding in a multicenter study in Turkey
Halil Coskun1, Alp Bozbora, Guner Ogunc
1Department of General Surgery, American Hospital, Istanbul, Turkey. hcoskun@turk.net
Obesity Surgery
|May 13, 2003
Summary
Adjustable gastric banding (AGB) is an effective bariatric surgery for morbid obesity, achieving significant weight loss. Its adjustable nature allows for progressive restriction and good long-term outcomes.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Management
Background:
- Adjustable gastric banding (AGB) offers a minimally invasive method for gastric restriction.
- Morbid obesity presents significant health challenges requiring effective interventions.
Purpose of the Study:
- To evaluate the efficacy and outcomes of Adjustable Gastric Banding (AGB).
- To compare open versus laparoscopic approaches for AGB placement.
Main Methods:
- Retrospective analysis of 70 morbidly obese patients undergoing AGB (October 1998 - October 2001).
- Comparison of open (n=35) and laparoscopic (n=35) AGB techniques.
- Complete follow-up data obtained for all patients.
Main Results:
- Mean excess weight loss of 59% at 18 months post-surgery.
- Laparoscopic AGB demonstrated shorter hospital stays (1.7 days) versus open (5 days).
- Early complication rates were 27.1% and late complication rates were 28.5%, with varied incidences between open and laparoscopic approaches.
Conclusions:
- Adjustable gastric banding is effective for achieving substantial weight loss up to 3 years.
- The adjustability of the gastric band facilitates progressive weight loss and patient management.
