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Laparoscopic Adjustable Gastric Banding to Treat Morbid Obesity
Benefits and Complications of Laparoscope-Assisted Stomach Band
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Laparoscopic Adjustable Gastric Banding (LAGB) & Obesity

Weight Loss Surgery Background
Morbid obesity is an increasingly common condition with serious associated morbidity and decreased life expectancy. The only treatment with long-term efficacy for this condition is surgical intervention. Laparoscopic adjustable gastric banding (LAGB) is a procedure increasingly performed in European centres and recently approved by the FDA in USA. This article reviews its effectiveness and complications.

Weight Loss Surgery Results
LAGB results in approximately 60 percent (43-78 percent) excess weight loss at 3 years with improvement in co-morbidities, with perioperative mortality <0.5 percent. Potential complications include prolapse or pouch dilatation, and port-related complications. Less common complications are intra-operative gastric perforation and band erosion. Rate of reoperation varies greatly between series, and is usually needed for band repositioning or port-related procedures, many of the latter performed under local anesthesia.

Weight Loss Surgery Conclusion
The available data demonstrate that LAGB is a safe bariatric procedure, and is effective in the short- and medium-term. Results of long-term follow-up are awaited.

Source: FD Communications Inc 2003

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