Outpatient Laparoscopic Adjustable Gastric Banding in Super-obese Patients

Montgomery, Kevin F.; Watkins, Brad M.; Ahroni, Jessie H.; Michaelson, Robert; Abrams, R; Erlitz, Marc D.; Scurlock, James E.

doi:10.1007/s11695-007-9149-4

Cited by 30 publications

(39 citation statements)

References 9 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The procedure is quick, lasting an average of 35-95 min [10][11][12][13], which is important for obese patients with many coincidental pathologies, and it is associated with a low rate of serious complications as well as rare intra-and early postoperative complications.…”

Section: Resultsmentioning

confidence: 99%

“…▬ Pleural injury with pneumothorax, which can be caused by too deep introduction (beyond the left diaphragmatic crux) of the tool used for retrogastric passage of the band ▬ Perforation of other parts of the gastrointestinal tract (most often the transverse colon) during insertion of the instruments without visual control or during coagulation. Such complications are rare [10,15]. ▬ Passing the band between the anterior gastric wall and the adipose tissue anterior to the stomach, possible in cases of abundant adipose tissue.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Gastric Banding

Szewczyk¹,

Modzelewski²

2012

Principles of Metabolic Surgery

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Gastric Banding

Szewczyk¹,

Modzelewski²

2012

Principles of Metabolic Surgery

View full text Add to dashboard Cite

“…Skilled surgeons require roughly 1 h of operative time for completion of LAGB (8,18). Reported conversion rates to an open procedure have ranged from 0% in private practice settings to 8% at academic institutions where residents are involved (6,7).…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic-adjustable gastric banding (LAGB) is a minimally invasive bariatric surgery with a low incidence of perioperative complications (2,3). Several trials have demonstrated that careful patient selection allows LAGB to be an ambulatory procedure (4)(5)(6)(7)(8)(9)(10). However, many of these prospective studies had small sample sizes with patients already preselected in observational trials.…”

mentioning

confidence: 99%

Perioperative Factors Affecting Ambulatory Outcomes Following Laparoscopic-Adjustable Gastric Banding

Dupanovic¹,

Krebill²,

Dupanovic³

et al. 2017

Turk J Anaesth Reanim

View full text Add to dashboard Cite

Objective: Morbidly obese patients are traditionally hospitalised following bariatric surgery. However, laparoscopic-adjustable gastric banding (LAGB) is amenable for ambulatory care. We hypothesised that the majority of patients can receive an ambulatory LAGB and that both surgical and anaesthetic perioperative factors will significantly affect non-ambulatory LAGB outcomes.Methods: Medical records of 201 consecutive LAGB patients performed at the University of Kansas Medical Centre during a 3-y period were reviewed. Demographic, medical, laboratory, anaesthetic, intraoperative and postoperative data were collected. Factors associated with non-ambulatory outcomes were identified and analysed using logistic regression, and a classification tree analysis was used to rank the descriptive model factor to the non-ambulatory outcome.Results: Average patient age was 43.4±11.4 years, and average body mass index was 48.2±10.3 kg m 2-1 . A total of 155 patients (77.1%; 95% confidence interval, 71%-83%; p<0.0001) were discharged home within 2-3 hours of surgery, whereas 36 stayed for 23 hours and 10 required hospital admission for 1-2 days. Increased surgical port numbers (p=0.007), ≥50% of total intraoperative fentanyl administered in the recovery room (post-anaesthesia care unit) for the treatment of postoperative pain (p=0.007) and a lack of prophylactic beta-blockade (p=0.001) were three factors associated with non-ambulatory outcomes. Obstructive sleep apnoea was not associated with a non-ambulatory outcome (p=0.83). Conclusion:The majority of patients received an ambulatory LAGB. Meticulous laparoscopic surgical technique with the least feasible number of access ports and multimodal analgesic technique aimed at reduction of postoperative opioid consumption are the most important factors for a successful ambulatory LAGB outcome.Keywords: Ambulatory surgery, bariatric surgery, laparoscopic surgery, outpatient surgery Abstract Address for Correspondence: Mirsad Dupanovic

show abstract

“…Torchia has managed to show 82 % EWL at 4 years follow up with 5 patients and 69.7 % in 55 patients at 2 years follow up [ 12 ]. Proponents of banding in extreme obesity draw attention to the near absence of mortality and morbidity when compared to LRYGB or LVSG; they also claim LAGB needs shorter operating times and length of hospital stay [ 13 ].…”

Section: Laparoscopic Adjustable Gastric Band (Lagb)mentioning

confidence: 99%

Management of Extreme Obesity (BMI > 60 kg/m2)

Somers

Carter

2016

Obesity, Bariatric and Metabolic Surgery

View full text Add to dashboard Cite

The management of extreme obesity (BMI >60) is becoming a modern necessity. A significant proportion of these patients may not be suitable for surgical intervention, and need palliative management. Those thought suitable for surgical intervention will require thorough specialist multidisciplinary team assessment led by the bariatric surgeon. Assessment should include input from the bariatric physician, psychologist, dietitian, and anesthetist.Preparation for surgery must take account of the operating and ward environment. Many of these massive patients will require bespoke environmental and handling solutions.The choice of surgical procedure should be determined by an experienced bariatric surgeon confi dent in undertaking treatment of such patients. Any procedure will achieve weight loss, the imperative is for a safe and straightforward perioperative course.Post operatively, specifi c adjustments to the general course of post-op bariatric care are required for this group. The need for long-term dietetic, psychological, and plastic reconstructive input is established. Keywords

show abstract

Outpatient Laparoscopic Adjustable Gastric Banding in Super-obese Patients

Cited by 30 publications

References 9 publications

The Gastric Banding

The Gastric Banding

Perioperative Factors Affecting Ambulatory Outcomes Following Laparoscopic-Adjustable Gastric Banding

Management of Extreme Obesity (BMI > 60 kg/m2)

Contact Info

Product

Resources

About