TREATMENT OF SEVERE OBESITY WITH ADJUSTABLE GASTRIC BAND. ANALYSIS OF 1350 CASES – 5 YEAR RESULTS
Παρουσιάστηκε στο 14th World Congress of International Federation for the Surgery of Obesity, Paris, France 26.08.08-29.08.09
Δημοσιεύθηκε ως περίληψη στο Obesity Surgery 2009:19;1049
BACKGROUND: The aim of this study was to determine the long-term results of LAGB in a series of 1350 patients with high follow-up rate, all operated by one surgeon.
METHODS: Between April 2004 and March 2009, 1350 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 98.5% of patients. Complication rate and weight loss have been prospectively recorded.
RESULTS: The mean age of patients was 37 years(range 15-70), mean weight 129 kgs(range 87-265) and mean BMI 45(range 31-75). A family-relationship among patients was observed in 16% of them. The mean hospital stay was 24 hrs, 3% of patients were discharged home the same day. In 6 patients(0.4%) a small stromal tumor was found incidentally. There was 1 mortality(0.07%) 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 42 patients(3%), erosion 13(1%) and band infection in 3 patients(0.2%). Mean excess weight loss was 49%, 60%, 65% and 67% at 1, 2, 3 and 4 years respectively. Better results were found in patients who visited the clinic regularly and in the group of patients with BMI 31-39. 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 7%. Sixty-four patients underwent plastic surgery(mostly abdominoplasty) and 57 pregnancies were identified.
CONCLUSION: LAGB is a safe and reversible procedure, offering excellent long-term results for the treatment of severe obesity.
MEDIA
DIGITAL MEDIA STUDIO
