A 3-year experience with laparoscopic gastric banding for obesity

Suter, Michel; Bettschart, Vincent; Giusti, Vittorio; Héraïef, E; Jayet, A

doi:10.1007/s004640000114

Cited by 69 publications

(40 citation statements)

References 12 publications

(18 reference statements)

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“…6,12,13 Studies from other centres have reported greater %EWL than the present study. Suter and colleagues 14 reported an EWL of 55% at 1-year follow-up; however, patients in that study were younger women, a group in which we have also observed better weight loss outcomes. Gravante and colleagues 15 reported a %EWL of 48.2% after 1 year in a study comparing 2 different devices, with no difference in weight loss between the groups.…”

Section: Discussioncontrasting

confidence: 55%

Evaluation of the Swedish adjustable gastric band VC (SAGB-VC) in an Australian population: early results

Keogh

Brancatisano

Taylor³

et al. 2013

Can J Surg

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Section: Discussioncontrasting

confidence: 55%

Evaluation of the Swedish adjustable gastric band VC (SAGB-VC) in an Australian population: early results

Keogh

Brancatisano

Taylor³

et al. 2013

Can J Surg

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“…In contrast, ‘anterior slippage’ may still occur following suprabursal band placement, but this will only happen in patients in whom the seromuscular stitches have burst. According to the findings in the literature and based on our own experience we can state that both types of band dislocation may occur with the LAP-BAND and with the Swedish Band as well where the incidence of each type of slippage only depends on the surgical technique used for band implantation [8, 9, 10, 11, 12, 13, 14, 15, 16]. …”

Section: Discussionmentioning

confidence: 99%

Anterior versus Posterior Slippage: Two Different Types of Eccentric Pouch Dilatation in Patients with Adjustable Laparoscopic Gastric Banding

Wiesner

Weber²,

Hauser³

et al. 2001

Dig Surg

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Purpose: To describe two different types of band dislocation that may occur in morbidly obese patients following adjustable laparoscopic gastric banding (ALGB) with the LAP-BAND. Materials and Methods: 170 morbidly obese patients were treated with an LAP-BAND at our institution. In the first 20 patients the band was positioned transbursally, which means that the lesser sac is penetrated during laparoscopic band implantation. In the following 150 patients the operation technique was changed to suprabursal band positioning where the lesser sac is not penetrated. Plain radiographs and single contrast studies of all patients who developed band instability in the follow-up were analyzed retrospectively and compared to the clinical and intraoperative findings and to the operation technique used. Results: Over a time period of 3.5 years ‘posterior slippage’ occurred in all 20 patients with transbursal band placement, but it never occurred after suprabursal band placement. Never- theless 4 patients with suprabursal band placement presented with an eccentric pouch dilatation, secondary to ‘anterior slippage’ after the seromuscular stitches had burst on the anterior and superior surface of the band. All these patients presented with food intolerance and all of them had to be reoperated. The radiographic findings were pathognomonic for each type of band dislocation. Conclusion: Band dislocation is a known major complication that may occur following ALGB and it may present in two different forms. While ‘posterior slippage’ can be avoided if the band is placed suprabursally, ‘anterior slippage’ may still occur. It is important to be familiar with both types of band dislocation since they require early detection and surgical band replacement or band refixation.

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“…40-60 Ih res Über ge wich tes [31,32]. Dies ent spricht ei nem Ab bau von 10-12 BMIPunk ten [33,34,35,36,37]. Nach pro xi malem Ma gen by pass ver lie ren die Pa ti en ten etwa 61-77 des Über ge wich tes in ner halb von 2 Jah ren [32,38,39,40], beim dis ta len Ma gen by pass kann die se Rate auf 90 anstei gen [41].…”

Section: Ge Wichts Ver Lustunclassified

“…Im Lang zeit ver lauf müs sen Vi ta mi ne (B12) und Spu ren ele men te (Fe, Ca) sub stitu iert wer den. Bei rein re strik ti ven Ver fahren sind dazu ver mehrt Öso pha gus dys moti li tä ten und Pouch kom pli ka tio nen (Vergrö ße rung des pro xi mal des Ban des ge lege nen Ma gen an teils) be schrie ben [33,49,50,51], was zu ei nem se kun dären Band versa gen füh ren kann. Dies wie de rum führt in bis zu 20 der Fäl le nach Ma gen banding zu ei ner Re ope ra ti on [25,52].…”

Section: Mor Bi DI Tät Und Mor Ta Li Tätunclassified

Was ist „evidence based“ in der Adipositaschirurgie?

Müller

Wildi

Clavien

et al. 2005

Chirurg

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Bariatric surgery is currently considered the best treatment option for morbid obesity. With the rapid development of laparoscopic techniques, a significant increase in the number bariatric procedures in recent years can be observed. Various surgical techniques to treat morbid obesity have been described, but only few prospective studies compare the different procedures, leading to a lack of evidence for their use. However, from the available literature some general recommendations can be given: (a) preoperative workup in an interdisciplinary team is mandatory, (b) primary bariatric procedures should be performed laparoscopically, and (c) the combination of restrictive and malabsorptive techniques is more efficient than a purely restrictive method, which is also true for the treatment of comorbid diabetes and arterial hypertension. In this paper, we present recent developments in bariatric surgery, with special emphasis on the available evidence for the best treatment of morbidly obese patients.

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A 3-year experience with laparoscopic gastric banding for obesity

Cited by 69 publications

References 12 publications

Evaluation of the Swedish adjustable gastric band VC (SAGB-VC) in an Australian population: early results

Evaluation of the Swedish adjustable gastric band VC (SAGB-VC) in an Australian population: early results

Anterior versus Posterior Slippage: Two Different Types of Eccentric Pouch Dilatation in Patients with Adjustable Laparoscopic Gastric Banding

Was ist „evidence based“ in der Adipositaschirurgie?

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