Results of the Italian Multicenter Study on 239 Super-obese Patients Treated by Adjustable Gastric Banding

Abstract

Although super-obese patients following the LAGB remain obese with BMI > 35, in the short-term most lose their co-morbidities, with a very low morbidity and mortality rate.

LapBand System® in Super-Superobese Patients (>60 kg/m2): 4-Year Results

“…Super-superobese is considered a challenging field in bariatric surgery because of the high rate of morbidity and mortality related to multiple medical, surgical, and anesthetic risks [1][2][3][4][5][6]. The best surgical treatment in this population to achieve optimal weight loss is still a matter of concern.…”

“…Bariatric surgery in superobese (BMI>50 kg/m 2 ) and super-superobese (BMI>60 kg/m 2 ) patients can be a formidable technical and therapeutic challenge [1][2][3][4][5][6]. These patients often present multiple medical, surgical, and anesthetic risks, and surgical treatment is mandatory because other available regimens are without effect.…”

The Italian Group for LAP-BAND: predictive value of initial body mass index for weight loss after 5 years of follow-up

“…Therefore it is clear that the identification of preoperative selection criteria is a priority. There have been a few papers in the international literature that have recently addressed this topic [1,4,6]. Dixon et al [6] found that older age, hyperinsulinemia, and impaired physical ability were predictive of a significantly lower %EWL at 1 year of follow-up after LAP-BAND placement.…”

“…Although several studies have reported long-term followup with good results in terms of weight loss, the patients selection criteria remain controversial [1][2][3][4]. Factors that would objectively exclude or indicate candidates for LAP-BAND remain unknown in spite of long-term studies and the large number of operated patients.…”

L’anneau gastrique a-t-il un futur ? Oui, mais...

“…L'expérience de 28 centres italiens a étudié 239 superobèses parmi 1 797 patients ayant eu un Lap-Band ® [12] : à quatre ans, pour 75 patients l'IMC est passé de 54,6 à 39,3 kg/m 2 . S'il est logique de proposer chez ces superobèses un court-circuit, certains préfèrent mettre d'abord un anneau et recourir à une technique plus complexe uniquement en cas d'échec.…”