Background: Adjustable gastric banding is considered the most common procedure in Europe for the treatment of morbid obesity. We report our experience with this procedure, introduced in our Department of Surgery in 1993. Methods: From December 1993 to December 2005, 684 mor- bidly obese patients (139 males and 545 females) underwent adjustable gastric banding (AGB) in our Departments of Surgery. The first 323 patients were operated with perigastric procedure, and the following 361 patients with pars flaccida technique. 601 patients were operated with laparoscopic approach, 83 with open approach. The average follow-up is 5 years. Results: Mean BMI decreased from 42.2 to 30 kg/m2 at 5 years after the operation, with EWL of 54 %. The main early complica- tions were: intraoperative gastric perforation (5 patients, 1 of which was repaired in laparoscopy); hemorrhage from short gas- tric vessels (3 patients, repaired in laparotomy). The major late complications were: intragastric band migration (7 patients); irre- versible dilatation of the gastric pouch (42 patients, treated surgi- cally with band removal or repositioning). Conclusions: In our experience, laparoscopic AGB is a safe and effective procedure, suitable for most patients, and should be consid- ered as the first choice in the surgical treatment of morbid obesit

Adjustable gastric banding for morbid obesity : results and complications / G. Micheletto, G. Roviaro, E. Lattuada, M.A. Zappa, E. Mozzi, M. Perrini, M.C. Librenti, B. Doldi, S. BRESSANI DOLDI. - In: OBESITY SURGERY. - ISSN 0960-8923. - 16:4(2006), p. 434. ((Intervento presentato al convegno IFSO European chapter tenutosi a Lyon nel 2006.

Adjustable gastric banding for morbid obesity : results and complications

G. Micheletto
Primo
;
G. Roviaro
Secondo
;
E. Mozzi;S. BRESSANI DOLDI
2006

Abstract

Background: Adjustable gastric banding is considered the most common procedure in Europe for the treatment of morbid obesity. We report our experience with this procedure, introduced in our Department of Surgery in 1993. Methods: From December 1993 to December 2005, 684 mor- bidly obese patients (139 males and 545 females) underwent adjustable gastric banding (AGB) in our Departments of Surgery. The first 323 patients were operated with perigastric procedure, and the following 361 patients with pars flaccida technique. 601 patients were operated with laparoscopic approach, 83 with open approach. The average follow-up is 5 years. Results: Mean BMI decreased from 42.2 to 30 kg/m2 at 5 years after the operation, with EWL of 54 %. The main early complica- tions were: intraoperative gastric perforation (5 patients, 1 of which was repaired in laparoscopy); hemorrhage from short gas- tric vessels (3 patients, repaired in laparotomy). The major late complications were: intragastric band migration (7 patients); irre- versible dilatation of the gastric pouch (42 patients, treated surgi- cally with band removal or repositioning). Conclusions: In our experience, laparoscopic AGB is a safe and effective procedure, suitable for most patients, and should be consid- ered as the first choice in the surgical treatment of morbid obesit
Settore MED/18 - Chirurgia Generale
2006
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/32279
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