“Reversible gastric banding” in surgical treatment of morbid obesity — results of animal experiments

Szinicz, G.; Müller, Ludwig; Erhart, Wiebke; Roth, F. X.; Pointner, Rudolph; Glaser, K.

doi:10.1007/bf01856030

Cited by 33 publications

(3 citation statements)

References 9 publications

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“…He saw the potential in changing the degree of gastric restriction over time. 10 Likewise, another surgeon named Lubomyr Kuzmak, a Ukrainian immigrant to the US, also recognized the potential of adjustability and the tolerability of silicone. In 1986, he reported on the implantation of adjustable silicone gastric bands in humans, and described better results with adjustable silicone bands compared with the nonadjustable silicone band he had been using since 1983.…”

Section: Logical Step Of Adjustabilitymentioning

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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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: Logical Step Of Adjustabilitymentioning

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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“…The modern adjustable gastric band is a tribute to both the vision and perseverance of early pioneers such as Kuzmak and Hallberg, and a sustained collaborative effort on the part of bioengineers, scientists, and surgeons [1]. Early research on the concept of an adjustable band can be traced to the work of Szinicz and Mueller in Austria, who experimented with an adjustable band connected to a subcutaneous port in animals [2]. In 1986, Lubomyr Kuzmak reported on the clinical use of an adjustable silicone gastric band (ASGB) via open surgery; results showed improved weight loss and reduced complication rates compared with the non-adjustable version that he had begun using in 1983 [3].…”

Section: Adjustable Bandmentioning

confidence: 99%

The Gastric Band: First‐Choice Procedure for Obesity Surgery

Franco

Ashton²,

Busetto

et al. 2009

World j. surg.

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The advent of laparoscopic adjustable gastric banding (LAGB) during the latter part of the 20th century represents a watershed in the management of chronic obesity. In this paper we provide an overview of LAGB with respect to its development, clinical outcomes, and future role. We also address current controversies, including a comparison of LAGB with Roux-en-Y gastric bypass (RYGBP). At present LAGB seems to be increasing in popularity in the United States, whereas in Europe there seems to be a trend away from gastric banding toward RYGBP. Optimal outcomes after LAGB are a function of correct laparoscopic technique, an experienced surgical team, a well-engineered device, and intensive long-term follow-up. The majority of studies show that LAGB is an extremely safe and effective procedure, with an operative mortality of 0-0.1% and excess weight loss (%EWL) of 50-60%. Commensurate with this degree of weight loss, almost all studies show substantial improvements in obesity-related co-morbidities, such as hypertension, type II diabetes, and dyslipidemia. In addition, LAGB has been shown to be both safe and effective in the super-obese, in adolescents, and in older patients and can be delivered as an ambulatory procedure. Operative mortality and early complication rates are significantly higher for RYGBP and, whilst gastric bypass results in greater weight loss than LAGB in the first 2 years, at 3 years and beyond the difference appears to be less marked. Overall, LAGB provides a safe, effective intervention for obese patients and remains our first-choice procedure for bariatric surgery.

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“…Posteriormente, se continuó la exploración de un procedimiento restrictivo para lograr la baja de peso sin la necesidad de dividir el estomago. A pesar de reportes previos con bandas no ajustables, Szinicz en 1980 10 implantó por primera vez en modelos animales una banda gástrica ajustable. En 1986 Kuzmak 11 implanta la primera banda gástrica ajustable en humanos por vía abierta, logrando una adecuada baja de peso y una baja tasa de Año XII, No.…”

Section: Banda Gástrica Ajustableunclassified

Restrictive bariatric surgery techniques: evolution and current trends

Musleh¹,

Carrillo²,

Braghetto³

2012

Medwave

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Bariatric surgery has proved to be more effective than medical therapy in the treatment for obesity. Multiple techniques have been described and can be divided into three main groups: Restrictive surgery, where the main objective is to decrease the volume of caloric intake; malabsortive surgery, where a portion of the absortive circuit is bypassed and thus limiting the caloric absortion; and a combination of both. Among the restrictive techniques, gastroplasty was one of the first procedures described. First horizontal gastroplasty and then vertical banded gastroplasty showed good short-term results but with poor long-term outcomes. These techniques have been gradually abandoned. Adjustable gastric banding is a minimally invasive technique and has the advantage of being reversible. Weight loss is adequate, but less effective than gastric bypass. Postoperative complications are low at short-term, but increase per year at long-term follow-up. Sleeve gastrectomy is an effective weight loss procedure that can be performed safely as a first stage or primary procedure. This results in excellent weight loss and co-morbidity reduction that exceeds, or is comparable to, that of other accepted bariatric procedures. Gastric plicature is a relatively new procedure and has reported good short-term outcomes in weight loss with few short-term complications. However, long-term outcomes are yet to be demonstrated

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“Reversible gastric banding” in surgical treatment of morbid obesity — results of animal experiments

Cited by 33 publications

References 9 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

The Gastric Band: First‐Choice Procedure for Obesity Surgery

Restrictive bariatric surgery techniques: evolution and current trends

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