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Initial Japanese experience with the LAP-BAND system.

Masayuki Ohta1, Seigo Kitano, Seiichiro Kai

  • 1Departments of Surgery I, Oita University, Oita, Japan. ohta@oita-u.ac.jp

Asian Journal of Endoscopic Surgery
|September 20, 2012
PubMed
Summary

Laparoscopic adjustable gastric banding (LAGB) using the LAP-BAND system provided significant weight loss and comorbidity improvement in Japanese patients. This bariatric surgery approach demonstrated intermediate-term benefits for managing morbid obesity.

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Area of Science:

  • Bariatric Surgery
  • Minimally Invasive Surgery
  • Obesity Management

Background:

  • Laparoscopic bariatric surgery adoption in Japan began in 2000.
  • The LAP-BAND system for laparoscopic adjustable gastric banding (LAGB) was introduced in Japan in 2005.
  • This study evaluates the intermediate-term outcomes of LAGB with the LAP-BAND system.

Purpose of the Study:

  • To assess the efficacy and safety of LAGB with the LAP-BAND system in Japanese patients with morbid obesity.
  • To evaluate intermediate-term weight loss and comorbidity resolution.
  • To report complications and reoperation rates associated with the procedure.

Main Methods:

  • 27 Japanese patients with morbid obesity (BMI ≥ 35 kg/m²) underwent LAGB.
  • Procedures were performed laparoscopically using the pars flaccida pathway with gastric-to-gastric sutures.

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  • Average follow-up was 48 months.
  • Main Results:

    • All procedures were completed laparoscopically with a low complication rate.
    • Average weight loss was 26 kg at 3 years and 22 kg at 6 years, with 53% excess weight loss.
    • Significant improvement or resolution of comorbidities, particularly type 2 diabetes and metabolic syndrome, was observed.

    Conclusions:

    • LAGB with the LAP-BAND system is a beneficial treatment option for obese Japanese patients.
    • The procedure demonstrates effective weight loss and positive impact on obesity-related comorbidities.
    • Intermediate-term results suggest good efficacy and manageable complications.