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Laparoscopic Swedish adjustable gastric banding: a five-year prospective study
Rudolf Steffen1, Laurent Biertho, Thomas Ricklin
1OBEX-Institute, Hirslanden Clinic, Department of Surgery, Zurich and Berne, Switzerland. Rudolf.steffen@bluewin.ch
Obesity Surgery
|July 5, 2003
Summary
Laparoscopic Swedish Adjustable Gastric Banding (SAGB) offers effective long-term weight loss. This bariatric surgery demonstrates acceptable complication rates, making it a viable option for obesity treatment.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Laparoscopic adjustable gastric banding is a common bariatric procedure in Europe.
- Long-term outcomes, including complication rates and weight loss, require further clarification.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of laparoscopic Swedish Adjustable Gastric Banding (SAGB).
- To analyze complication rates and weight loss following SAGB in a large patient cohort.
Main Methods:
- Prospective analysis of 824 patients who underwent laparoscopic SAGB over a 5-year period.
- Collection of preoperative data, postoperative weight loss, and long-term complications.
Main Results:
- Mean preoperative BMI was 43 kg/m(2). Peri-operative complication rate was 1.2%.
- Long-term complications occurred in 23.2% of patients, with 16.4% related to the band.
- Mean excess weight loss reached 57% after 5 years, with 82.9% achieving >50% EWL.
Conclusions:
- Laparoscopic SAGB is an effective bariatric procedure for achieving significant weight loss.
- The procedure demonstrates an acceptable rate of mortality and morbidity in the long term.