SIX YEARS EXPERIENCE WITH ADJUSTABLE GASTRIC BAND. ANALYSIS OF 1582 CASES – 41 TONNES WEIGHT LOSS
BACKGROUND: The aim of this study was to determine the long-term results of LAGB in a series of 1582 patients with high follow-up rate, all operated by one surgeon.
METHODS: Between April 2004 and February 2010, 1582 patients have undergone LAGB in a single center using the Helioscopie band (Heliogast® HAGE). The pars-flaccida technique was used and close follow-up was achieved in 96.6% of patients. Mean follow-up was 37±13 months, range 12-70. Complication rate and weight loss have been prospectively recorded.
RESULTS: The mean age of patients was 37±11 years (range 15-70), mean weight 130±28 kgs (range 87-265) and mean BMI 45± 7(range 30-75). The mean hospital stay was 24 hrs, 2.7% of patients were discharged home the same day. There was 1 mortality (0.06%) from massive pulmonary embolism 22 days postoperatively. Early complications were found in 4 patients (2 cases of bleeding, 2 cases of stoma obstruction). All 4 cases required reoperation. Late complications comprised slippage in 64 patients (4.3%), erosion 15(1%) and band infection in 3 patients (0.18%). Mean excess weight loss was 49%, 60%, 65%, 65%, 68% and 68% at 1, 2, 3, 4, 5 and 6 years respectively. Better results were found in patients with BMI 30-39. Resolution of comorbidities was seen in the majority of patients. In patients with a complete 2-year follow-up, failure (<25% EWL, lost to follow-up, band explanted) rate was 9.5%. Two years post-operatively, 77 patients (8%) underwent plastic surgery (mostly abdominoplasty). Sixty-eight pregnancies have been reported.
CONCLUSION: LAGB is a safe and reversible procedure, offering excellent long-term results for the treatment of severe obesity.
Παρουσιάστηκε στο 15th World Congress of International Federation for the Surgery of Obesity, Los Angeles, USA 03.09.10-07.09.10
Δημοσιεύθηκε ως περίληψη στο Obesity Surgery 2010:20;969
επιστροφή
MEDIA
DIGITAL MEDIA STUDIO
