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Bariatric Weight Loss Surgery - Laparoscopic Gastric Banding
Laparoscope-Assisted Gastric Lap Band to Treat Morbid Obesity
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Laparoscopic Adjustable Gastric Banding Study

Bariatric Weight Loss Surgery Study Background
The laparoscopic adjustable gastric band (LAGB) is a minimally invasive, adjustable and reversible bariatric procedure. The present paper reports an initial 2-year experience at Royal Hobart Hospital, Tasmania.

Bariatric Weight Loss Surgery Study Methods
Between 2008 and 2011, 207 patients underwent LAGB insertion (176 female, 31 male). The mean age was 43 years (range: 16-74 years). Mean preoperative weight was 125 kg (range: 83-210 kg) and mean body mass index (BMI) was 45.9 (range: 32.6-67.0). The Bioenterics LAGB (Inamed, Chullora, NSW, Australia) was used in all cases. The average follow up was 17 months (range: 3-24 months). Three patients were lost to follow up (1.5 percent).

Bariatric Weight Loss Surgery Study Results
The average weight loss was 12.4 kg at 3 months, 25.3 kg weight loss at 1 year and 34.8 kg weight loss at 2 years. The average BMI was reduced from 45.9 preoperatively to 41.3 at 3 months, 36.9 at 1 year and 33.5 at 2 years. Re-operation for band slippage occurred in 24 patients (11 percent), and the injection reservoir required changes in 22 patients (11 percent). There were three perforations while inserting the LAGB, two non-fatal pulmonary emboli (1 percent) and two cases of deep vein thrombosis (1 percent). There has been no mortality.

Bariatric Weight Loss Surgery Study Conclusion
Laparoscopic adjustable gastric banding is a safe and effective method of achieving significant weight reduction in the morbidly obese.

Source: Semple C.W. Chehata A. Wilkinson S. Wertheimer M.A. Department of Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. ANZ Journal of Surgery.

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