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Updated: Aug 25, 2026

One-anastomosis Gastric Bypass (OAGB) in Rats
Published on: November 10, 2018
Initial experience with laparoscopic adjustable gastric banding in Hungary
Janos Bende1, Miklos Ursu, Miklos Csiszar
1Péterfy Hospital, Department of Surgery, Budapest, Hungary. dagsebbj@elender.hu
Background:
Laparoscopic adjustable gastric banding (LAGB) was started in Hungary in 1998. We used Lap-Band and SAGB devices. In this study we present our experience through the learning curve.
Methods:
From Jan 1999 to Dec 2002, 54 patients underwent laparoscopic surgery for morbid obesity in our department, using the Lap-Band and SAGB. There were 33 men and 21 women, with median age 42 (range 20-64), and preoperative BMI 50 kg/m(2) (range 41-66). All underwent LAGB, except one patient who had laparoscopic vertical banded gastroplasty. The procedures used the 4-trocar technique.
Results:
The first patient required reoperation because of gastric rupture from drinking sparkling mineral water despite of our advice. Excluding this, we had no intraoperative or short-term postoperative complications. Mean operating time was 82 minutes (range 55-192), and hospital stay was 3 days. Followup ranges from 1 to 36 months. Mean weight loss was 47 kg at 12 months and 67 kg at 36 months. Mean BMI fell to 29 kg/m(2).
Conclusion:
With its safety and effectiveness, LAGB has been a good choice for handling morbidly obese patients in our early experience.

