SAFETY AND EFFECTIVENESS OF LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING IN OBESE PATIENTS WITH BMI <35
Παρουσιάστηκε στο 11th Congress of IFSO, Sydney, Australia, 30.08.06-02.09.06
Δημοσιεύθηκε ως περίληψη στο Obesity Surgery 2006:16;1025
Background: Obese patients with a body mass index (BMI) lower than 35 kg/m2 are usually treated conservatively with poor results since the majority will experience several failures and only 5% will maintain long term satisfactory weight loss. Laparoscopic adjustable gastric banding (LAGB) is effective in obese (BMI≥35 kg/m2) and morbidly obese patients (BMI≥40 kg/m2) with co-morbidities, but is not routinely recommended in obese patients with BMI 30-35 kg/m2. The authors investigated the safety and effectiveness of this surgical procedure in obese patients with low BMI.
Methods: Patients were offered surgical treatment after thorough, multidisciplinary work-up. The study included 41 patients (35 female and 6 male) with a mean age of 39±10 years who underwent LAGB. Mean preoperative BMI and body weight were 32.5±1.6 kg/m2 and 93±12 kg respectively. Weight related co-morbidities were present in 10 patients (25%). All patients were followed for at least 18 months.
Results: The operation was completed laparoscopically in all patients with no peri-operative complications. Mean operative time and hospital stay were 52±6 min and 12 hrs respectively. Mean percentage of excess weight loss (%EWL) at 12 and 18 months was 77±23 and 87±11 respectively. 33% reached a BMI of 25 kg/m2 after a mean period of 9±1.5 months. One patient developed band leakage requiring band replacement. Co-morbidities improved or resolved completely in all patients.
Conclusions: Our results show that adjustable gastric banding is a safe and effective approach in obese patients with low BMI and should be recommended in carefully selected patients.
MEDIA
DIGITAL MEDIA STUDIO
