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.
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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.
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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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