History of Lap-Band&lt;SUP&gt;®&lt;/SUP&gt;: from Dream to Reality

Belachew, M; Legrand, M; Vincent, Vaiana

doi:10.1381/096089201321336638

Cited by 63 publications

(23 citation statements)

References 6 publications

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“…16 In LAGB, an adjustable silicone band is placed around the stomach just below the gastroesophageal junction, physically reducing gastric size and resulting in a pouch with an initial volume of about 15 ml. The lumen of the band is connected via tubing to a subcutaneous port, and injection of saline allows the band to be adjusted 17 ( Figure 1D). Average weight loss post-LAGB, according to a meta-analysis, is 42.6% EWL at 1 year, 50.3% at 2 years, and 55.2% at >3 years postsurgery.…”

Section: Gastric Restrictive (Laparoscopic Adjustable Gastric Bandingmentioning

confidence: 99%

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Ionut

Bergman

2011

J Diabetes Sci Technol

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Obesity has increased alarmingly in the United States and is increasing in many countries of the world. Because obesity is an important risk factor for type 2 diabetes and other chronic diseases, it is important to develop approaches to counter the rapid increase in adiposity. One approach is bariatric surgery, the most successful clinical intervention known for treating obesity. Surgery can result in impressive weight loss and improvement of obesity-related comorbidities. Yet the mechanisms responsible for this remarkable effect of surgery remain controversial. It is now clear that caloric restriction, per se, does not explain all the reduction in stored fat mass after surgery. A number of gastrointestinal hormones, including glucagon-like peptide (GLP)-1, peptide YY, oxyntomodulin, GLP-2, glucose-dependent insulinotropic polypeptide, ghrelin, and others, can play roles in energy homeostasis and could be involved in bariatric-surgery-related weight loss and weight loss maintenance. Vagal innervation may play a role. In addition, there may be other yet-uncharacterized factors that could participate. This review discusses the possible roles of these hormonal mechanisms in various types of bariatric surgery to help elucidate some of the potential mechanisms at play in short-term and long-term post-bariatric surgery weight loss. Understanding such mechanisms could lead to new and efficacious means to control or even reduce the epidemic of obesity.

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Section: Gastric Restrictive (Laparoscopic Adjustable Gastric Bandingmentioning

confidence: 99%

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Ionut

Bergman

2011

J Diabetes Sci Technol

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“…Finally, in 2001, the LAP-BAND obtained FDA approval and has since been become an important surgical treatment for morbid obesity. 12 …”

Section: Laparoscopymentioning

confidence: 99%

“…35 Volume restriction on the amount of food consumed places all gastric banding patients at risk of nutrient compromise. 36 More prevalent nutritional deficiencies following AGB placement include those of iron, folate, thiamine, vitamin B 12 , and vitamin D. 37 Supplementation with a multivitamin and mineral compound and assessment of nutritional and metabolic parameters on a regular basis can help to prevent nutritional compromise following ABG placement. 38,39 Large supplement tablets may not be tolerated because of a restricted gastric stoma size.…”

Section: Nutritionmentioning

confidence: 99%

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Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed in the United States and Canada. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results. The gastric band has evolved over its 35-year history into a very successful adjustable tool used to restrict food consumption and limit caloric intake. The percent of excessive weight loss after banding can range from 30%-60% and depends on the time out from surgery. Along with weight loss, there is good resolution of the co-morbid conditions that are associated with excess weight and improvements in quality of life demonstrated after banding. Nutrition and follow up are extremely important after banding to ensure good compliance and adequate weight loss. Failure to follow the postoperative diet, exercise regiment, or mechanical failure of the band can lead to failure to lose adequate weight. While there are particular early and late complications associated with this surgery, the safety profile of the AGB is very appealing when compared to other bariatric operations. As we continue to reduce the morbidity of the procedure, the simple adjustable band concept has a lot of potential to remain a primary technique of maintaining long term weight loss. In conclusion, AGB has and continues to play an important role in the treatment of morbid obesity. It offers reasonably good weight loss results with very little morbidity, and the future of the adjustable band is bright.

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“…[1][2][3] The reasons for its success are related to the ability to obtain adequate weight loss without the need for gastric resection or modification of the anatomy of the stomach and intestine. The reversibility of the procedure and the ease of operating laparoscopically enable early discharge from hospital and a rapid recovery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of gastric band erosions: a 7-year series of 14 patients

Doğan

Akın

Yalakı

et al. 2014

cjs

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Background: Intragastric band migration is an unusual but major complication of gastric banding. We review our experience with endoscopic removal of eroded gastric bands. Methods:We retrospectively evaluated the cases of 110 morbidly obese patients who underwent adjustable gastric banding between 2005 and 2012 to identify those who experienced band erosion. To remove the migrated band, we used an endoscopic approach with a Gastric Band Cutter.Results: Band or tube erosion occurred in 14 patients (12.7%). The median time interval from the initial gastric band placement to the diagnosis of band erosion was 32 (range 18-52) months. Upper abdominal pain, port site infection, loss of restriction and weight regain were the most common symptoms. We used the Gastric Band Cutter to remove the band endoscopically. It was able to cut the band successfully in all but 1 patient, in whom twisting of the cutting wire required conversion from endoscopy to laparotomy. In 2 patients, the band, after being cut, was locked in the gastric wall and required laparotomic removal. In 1 patient, we performed surgery for intragastric pene tration of the connecting tube broken close to the band. Conclusion:The Gastric Band Cutter was successful in dividing the band in all but 1 patient, although we could not always complete the procedure endoscopically. Endoscopic removal seems to be effective and safe for band erosion.Contexte : La migration intragastrique de l'anneau est une complication rare, mais majeure du cerclage gastrique. Nous faisons le point sur notre expérience du retrait endoscopique des anneaux gastriques érodés.Méthodes : Nous avons évalué de manière rétrospective le cas de 110 patients atteints d'obésité morbide qui ont subi un cerclage gastrique ajustable entre 2005 et 2012 afin de vérifier si les anneaux en place étaient érodés. Pour retirer les anneaux qui avaient migré, nous avons utilisé l'approche endoscopique et un dispositif pour sectionner l'anneau gastrique.Résultats : L'anneau ou le tube s'est érodé chez 14 patients (12,7 %). L'intervalle médian entre la pose initiale de l'anneau gastrique et le diagnostic d'érosion a été de 32 (entre 18 et 52) mois. La douleur abdominale haute, l'infection du port d'accès, la diminution de la restriction et la reprise de poids ont été les symptômes les plus fréquents. Nous avons utilisé un dispositif pour sectionner l'anneau gastrique afin de retirer l'anneau par voie endoscopique. Le dispositif a permis de sectionner l'anneau avec succès chez tous les patients sauf 1; dans ce dernier cas, une torsion du fil à sectionner a nécessité la conversion de l'endoscopie en une laparotomie. Chez 2 patients, une fois sectionné, l'anneau est resté emprisonné dans la paroi gastrique et a nécessité une extraction laparotomique. Chez 1 patient, nous avons effectué une intervention chirurgicale en raison de la pénétration intragastrique de la tubulure de raccord sectionnée à proximité de l'anneau. Conclusion :Le dispositif servant à sectionner l'anneau gastrique a bien fonctionné chez tous les...

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History of Lap-Band<SUP>®</SUP>: from Dream to Reality

Abstract: The development of the Lap-Band from concept to animal lab, ending in clinical application, has been an advance in bariatric surgery.

Cited by 63 publications

References 6 publications

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Endoscopic management of gastric band erosions: a 7-year series of 14 patients

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