Objective Comparison of Complications Resulting from Laparoscopic Bariatric Procedures

Parikh, Manish; Laker, Scott; Weiner, Matt; Hajiseyedjavadi, Omid; Ren, Christine

doi:10.1016/j.jamcollsurg.2005.10.003

Cited by 125 publications

(76 citation statements)

References 21 publications

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“…[59][60][61][62][63][64][65][66][67][68][69][70][71][72] The complication rates in more recent studies are generally lower than in older studies. This may be attributable to improved surgical techniques and the development of newer band designs.…”

Section: Dovepressmentioning

confidence: 88%

“…This occurs in about 4% (1.0%-6.5%) of patients in recent studies, with older studies showing a much higher rate of this complication. 64,65,[71][72][73] The reason for this dramatic reduction in slippage rate is attributed to the use of the pars flaccida technique instead of the less frequently used perigastric approach for the insertion of the gastric band around the proximal stomach. Several studies have demonstrated a reduction in the number of slips from as high as 15% down to 2% simply by this change of technique.…”

Section: Late Complicationsmentioning

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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Section: Dovepressmentioning

confidence: 88%

Section: Late Complicationsmentioning

confidence: 99%

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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“…We omitted complications whose incidence was < 0.1%. The calculated incidence of complications associated with laparoscopic bariatric surgery, obtained from the case series, 4,8,10,17,28,38,44,45,52,74,77,82,83,91,120 is summarized in Table 1; complications associated with DBS studies are shown in Table 2. 6,7,9,12,16,20,26,27,31,37,39,47,[55][56][57][58][59][60][61]64,[67][68][69]71,78,80,81,84,[86][87][88][89][96]…”

Section: Resultsmentioning

confidence: 99%

Deep brain stimulation compared with bariatric surgery for the treatment of morbid obesity: a decision analysis study

Pisapia

Halpern²,

Williams³

et al. 2010

FOC

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Object Roux-en-Y gastric bypass is the gold standard treatment for morbid obesity, although failure rates may be high, particularly in patients with a BMI > 50 kg/m2. With improved understanding of the neuropsychiatric basis of obesity, deep brain stimulation (DBS) offers a less invasive and reversible alternative to available surgical treatments. In this decision analysis, the authors determined the success rate at which DBS would be equivalent to the two most common bariatric surgeries. Methods Medline searches were performed for studies of laparoscopic adjustable gastric banding (LAGB), laparoscopic Roux-en-Y gastric bypass (LRYGB), and DBS for movement disorders. Bariatric surgery was considered successful if postoperative excess weight loss exceeded 45% at 1-year follow-up. Using complication and success rates from the literature, the authors constructed a decision analysis model for treatment by LAGB, LRYGB, DBS, or no surgical treatment. A sensitivity analysis in which major parameters were systematically varied within their 95% CIs was used. Results Fifteen studies involving 3489 and 3306 cases of LAGB and LRYGB, respectively, and 45 studies involving 2937 cases treated with DBS were included. The operative successes were 0.30 (95% CI 0.247–0.358) for LAGB and 0.968 (95% CI 0.967–0.969) for LRYGB. Sensitivity analysis revealed utility of surgical complications in LRYGB, probability of surgical complications in DBS, and success rate of DBS as having the greatest influence on outcomes. At no values did LAGB result in superior outcomes compared with other treatments. Conclusions Deep brain stimulation must achieve a success rate of 83% to be equivalent to bariatric surgery. This high-threshold success rate is probably due to the reported success rate of LRYGB, despite its higher complication rate (33.4%) compared with DBS (19.4%). The results support further research into the role of DBS for the treatment of obesity.

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“…Esto debido a la consistencia de los buenos resultados en cuanto a la baja de peso y menor morbilidad, en comparación a otros procedimientos con mayor componente malabsortivo [14][15][16][17] . Posteriormente, y en asociación con un entrenamiento en laparoscopia avanzada, se introdujo el BPGL el 2001, realizando la misma cirugía pero con abordaje mínimamente invasivo.…”

Section: Discussionunclassified

Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile

et al. 2013

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Objective Comparison of Complications Resulting from Laparoscopic Bariatric Procedures

Cited by 125 publications

References 21 publications

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

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

Deep brain stimulation compared with bariatric surgery for the treatment of morbid obesity: a decision analysis study

Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile

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