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Outcomes with the adjustable gastric band
Ramsey M Dallal1, Linda Bailey
1Division of Bariatric Surgery, Albert Einstein Healthcare Network, Philadelphia, Pa, USA. dallalr@einstein.edu
Surgery
|February 23, 2008
Summary
The laparoscopic adjustable gastric band (LAGB) offers reversible weight loss but has variable outcomes and significant complications. Further research is needed to optimize this bariatric surgery procedure.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Obesity Treatment
Background:
- Laparoscopic adjustable gastric band (LAGB) is a reversible bariatric surgery option.
- It is considered a safer alternative to more invasive weight loss surgeries.
Purpose of the Study:
- To review complications and weight loss outcomes of LAGB procedures.
- To evaluate the effectiveness and safety of LAGB surgery.
Main Methods:
- Retrospective review of 186 LAGB procedures performed between May 2001 and July 2005.
- Analysis of patient demographics, body mass index (BMI), follow-up duration, weight loss, and complication rates.
Main Results:
- Average BMI was 43.5 kg/m2; average excess weight loss at 3 years was 42%.
- 47% of patients experienced complications, with an overall re-operation rate of 33%.
- Using the newer Taper II port reduced complication and re-operation rates to 32% and 17% respectively; mortality was 0%.
Conclusions:
- LAGB surgery leads to variable weight loss results.
- The procedure is associated with a substantial number of complications, necessitating careful patient selection and follow-up.
- Improvements were noted with newer port technology, suggesting potential for enhanced safety and efficacy.
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