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Laparoscopic adjustable gastric banding: initial Tasmanian experience
Craig W Semple1, Ashraf Chehata, Stephen Wilkinson
1Department of Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. enltas@telstra.com
ANZ Journal of Surgery
|July 31, 2003
Summary
Laparoscopic adjustable gastric banding (LAGB) offers significant weight loss for the morbidly obese. This bariatric procedure is safe and effective, with substantial BMI reduction over two years.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Management
Background:
- Laparoscopic adjustable gastric band (LAGB) is a reversible bariatric surgery.
- Initial 2-year experience at Royal Hobart Hospital, Tasmania, is reported.
Purpose of the Study:
- To evaluate the safety and efficacy of LAGB.
- To report weight loss and BMI reduction outcomes.
Main Methods:
- 207 patients underwent LAGB insertion between 1999 and 2001.
- Mean patient age was 43 years, with a mean BMI of 45.9.
- Average follow-up was 17 months.
Main Results:
- Average weight loss was 34.8 kg at 2 years.
- Mean BMI decreased from 45.9 to 33.5 at 2 years.
- Complications included band slippage (11%) and reservoir issues (11%); no mortality.
Conclusions:
- LAGB is a safe and effective bariatric procedure.
- Achieves significant weight reduction in morbidly obese patients.
- Demonstrates substantial BMI reduction and manageable complication rates.