Weight Loss Surgery Study
Laparoscopic Swedish Adjustable Gastric
Banding: a Five-Year Prospective Study.
Weight Loss Surgery Background
Laparoscopic adjustable gastric banding is a popular bariatric operation
in Europe. However, the long-term complication rate and weight loss are
still unclear.
Weight Loss Surgery Methods
824 patients underwent a laparoscopic Swedish Adjustable Gastric Banding
(SAGB) in a 5-year period. Preoperative data, postoperative weight loss
and long-term complications were prospectively obtained for analysis.
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Weight Loss Surgery Results
Average of the 824 patients was 43 years, with mean preoperative
BMI 43 ± 1 kg/m2. No intra- or postoperative death occurred
in the first 30 postoperative days. Intraoperative conversion rate
was 5.2 percent. Peri-operative complication rate was 1.2 percent.
97 percent of the patients were available for follow-up (maximum
5 years). Long-term complications occurred in 191 patients (23.2
percent). 135 complications (16.4 percent) were related to the band,
and 56 (6.8 percent) to the access-port or to the tube. Mean excess
weight loss was 30, 41, 49, 55 and 57 percent after 1, 2, 3, 4
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and 5 years respectively. 82.9 percent
of the patients obtained >50 percent EWL after initial treatment.
Weight Loss Surgery Conclusion
The results of this study suggest that laparoscopic SAGB can achieve an
effective weight loss, with an acceptable mortality and morbidity rate.
Source: Obesity Surgery, 1 June 2003, vol.
13, no. 3, pp. 404-411(8)
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