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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
Obesity Surgery
|March 17, 2004
Summary
Laparoscopic adjustable gastric banding (LAGB) is a safe and effective bariatric surgery for morbid obesity. Early Hungarian experience shows significant weight loss and BMI reduction with minimal complications.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Obesity Management
Background:
- Laparoscopic adjustable gastric banding (LAGB) adoption in Hungary began in 1998.
- This study reviews early clinical experience with Lap-Band and SAGB devices.
- Focus is on the learning curve associated with LAGB procedures.
Purpose of the Study:
- To present the initial surgical experience with LAGB in Hungary.
- To evaluate the safety and effectiveness of LAGB during the learning curve phase.
- To analyze patient outcomes including weight loss and BMI changes.
Main Methods:
- A cohort of 54 morbidly obese patients underwent LAGB between 1999 and 2002.
- The 4-trocar technique was employed for all LAGB procedures.
- One patient received laparoscopic vertical banded gastroplasty.
Main Results:
- Excluding one case of gastric rupture, no intraoperative or short-term complications occurred.
- Average operating time was 82 minutes, with a 3-day hospital stay.
- Significant mean weight loss of 47 kg at 12 months and 67 kg at 36 months was observed, reducing BMI to 29 kg/m(2).
Conclusions:
- LAGB demonstrated safety and effectiveness in managing morbid obesity during the initial learning phase.
- The procedure offers a viable option for bariatric surgery.
- Positive outcomes support LAGB as a beneficial treatment for morbidly obese patients.