Gastric banding in the treatment of morbid obesity

Abstract

Gastric banding was carried out in 30 patients as a treatment for morbid obesity. The mean excess weight lost at 3 months was 32.6 per cent (27 patients) and 69.7 per cent at 2 years (eight patients). Fifteen patients required 22 reoperations for technical complications. Two patients underwent removal of the band and seven patients were converted to a stapled vertical Silastic ring gastroplasty. Although gastric banding appears to be a satisfactory method of achieving weight loss, the complication and reoperation rates are unacceptable in our hands. It is recommended that this operation should no longer be used as a treatment for morbid obesity.

Prospective study of 250 patients undergoing laparoscopic gastric banding using the two-step technique

“…Advantages of the procedure have been well documented: it is performed laparoscopically, respects gastric integrity, does not alter gastrointestinal continuity, and is completely reversible [2,4,10,14,17]. However, slippage of the stomach through the band and band erosion through the gastric wall have been reported in approximately 10% of cases in which the standard retrogastric tunnel technique was used [4-6, 8-11, 14, 16, 17].…”

Cirurgia da obesidade mórbida por videolaparoscopia

“…Inicialmente esta técnica foi adotada por vários cirurgiões em muitos países e relatados resultados excelentes 29,30 . Posteriormente foi considerado como um método inadequado, com alto índice de reoperações e complicações 31,32 . Na última década a banda gástrica ajustável de silicone levanta os mesmos questionamentos, com resultados positivos e negativos na literatura [13][14][15][34][35][36] .…”

Postoperative Kontrolle und Gewichtsverhalten nach Gastric Banding

“…Die Nahrungsaufnahme und Ha Èufigkeit des Erbrechens stehen dabei in engen Zusammenhang [17]. Insbesondere bei eng gestelltem Band und undisziplinierten Patienten ist durch ein ha Èufiges Erbrechen das Risiko der Pouchdilatation hoch [7,9] …”