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Laparoscopic banding: selection and technique in 830 patients

Favretti, F ; Cadière, G B ; Segato, G ; Himpens, J ; De Luca, M ; Busetto, L ; De Marchi, F ; Foletto, M ; Caniato, D ; Lise, M ; Enzi, G

Obesity surgery, 2002-06, Vol.12 (3), p.385-390 [Periódico revisado por pares]

United States: Springer Nature B.V

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Título:
Laparoscopic banding: selection and technique in 830 patients
Autor: Favretti, F ; Cadière, G B ; Segato, G ; Himpens, J ; De Luca, M ; Busetto, L ; De Marchi, F ; Foletto, M ; Caniato, D ; Lise, M ; Enzi, G
Assuntos: Adolescent ; Adult ; Aged ; Bandages - adverse effects ; Body Mass Index ; Female ; Follow-Up Studies ; Gastrointestinal surgery ; Gastroplasty - adverse effects ; Humans ; Laparoscopy - adverse effects ; Male ; Middle Aged ; Obesity ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Patient Selection ; Postoperative Complications ; Surgical outcomes ; Time Factors ; Weight control ; Weight Loss - physiology
É parte de: Obesity surgery, 2002-06, Vol.12 (3), p.385-390
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Descrição: Laparoscopic adjustable gastric banding (LAGB) with the Lap-Band has been our first choice operation for morbid obesity since September 1993. Results in terms of complications and weight loss are analyzed. 830 consecutive patients (F 77.9%) underwent LAGB. Initial body weight was 127.9 +/- SD 23.9 kg, and body mass index (BMI) was 46.4 +/- 7.2 kg/m2. Mean age was 37.9 (15-65). Steps in LAGB were: 1) establishment of reference points for dissection (equator of the balloon inflated with 25 cc air and left crus); 2) creation of a retrogastric tunnel above the bursa omentalis; 3) creation of "virtual" pouch; 4) embedding the band. Mortality was 0, conversion 2.7%, and follow-up 97%. Major complications requiring reoperation developed in 3.9% (36 patients). Early complications were 1 gastric perforation (requiring band removal) and 1 gastric slippage (requiring repositioning). Late complications included 17 stomach slippages (treated by band repositioning in 12 and band removal in 5), 9 malpositions (all treated by band repositioning), 4 gastric erosions by the band (all treated by band removal), 3 psychological intolerance (requiring band removal), and 1 HIV positive (band removed). A minor complication requiring reoperation in 91 patients (11%) was reservoir leakage. 20% of patients who had % excess weight loss < 30 had lost compliance to dietetic, psychological and surgical advice. BMI declined significantly from the initial 46.4 +/- 7.2 to 37.3 +/- 6.8 at 1 year, 36.4 +/- 6.9 at 2 years, 36.8 +/- 7.0 at 3 years, and 36.4 +/- 7.8 at 5 years. LAGB is a relatively safe and effective procedure.
Editor: United States: Springer Nature B.V
Idioma: Inglês

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Laparoscopic banding: selection and technique in 830 patients

Favretti, F ; Cadière, G B ; Segato, G ; Himpens, J ; De Luca, M ; Busetto, L ; De Marchi, F ; Foletto, M ; Caniato, D ; Lise, M ; Enzi, G

United States: Springer Nature B.V

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