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Lap-band: outcomes and results
1Monash University, Department of Surgery, The Alfred Hospital, Melbourne, Victoria, Australia. paul.obrien@med.monash.edu.au
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 17, 2003
Summary
Laparoscopic adjustable gastric banding (Lap-Band) offers a safe and effective method for significant weight loss and improving obesity-related conditions. This reversible procedure is considered an optimal initial treatment for severe obesity.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Management
Background:
- Laparoscopic adjustable gastric banding (Lap-Band) introduced in the 1990s for safe, controllable, reversible weight loss in severe obesity.
- The Bioenterics Lap-Band system is the most common device used.
- Reviewing 10 years of experience with over 100,000 patients treated with Lap-Band.
Purpose of the Study:
- To review the outcomes of Lap-Band placement.
- Evaluate the safety and efficacy of Lap-Band surgery.
- Assess the impact on comorbid conditions and quality of life.
Main Methods:
- Data from 1250 patients treated in our unit.
- Systematic review of published literature up to September 2001.
- Inclusion of major studies published after the systematic review's closure.
Main Results:
- Lap-Band placement is a safe procedure with a low mortality rate (1 in 2000).
- Achieved 56% excess weight loss (EWL) at 5 years, comparable to Roux-en-Y gastric bypass (59% EWL).
- Significant improvements in type 2 diabetes, insulin resistance, gastroesophageal reflux, sleep apnea, and depression; quality of life returns to normal.
Conclusions:
- Lap-Band placement is safe and effective for obesity control.
- Attributes of adjustability, safe laparoscopic placement, and reversibility make it an optimal initial approach.
- Recommended for managing obesity and its associated comorbid conditions.