Laparoscopic gastric banding for morbid obesity |
| |
Authors: | G A Fielding M Rhodes L K Nathanson |
| |
Institution: | (1) Suite 93, Sandford Jackson Building, Chasely Street, Auchenflower, Queensland 4066, Australia, AU |
| |
Abstract: | Background: Morbid obesity occurs in 2–5% of the population of Europe, Australia, and the United States and is becoming more common.
Open surgical techniques, such as vertical banded gastroplasty and other divisional procedures in the stomach, have led to
long-term weight reduction as well as an amelioration of the attendant medical problems in approximately two-thirds of patients.
Materials and methods: A total of 335 patients with a median age of 41 years underwent gastric banding. We emphasized the need for long-term maintenance
and follow-up. The indications for surgery comprised a body mass index >35, a stated desire to undergo the procedure, and
a full understanding of all possible complications.
Results: All patients have needed band adjustments of 1–4 ml over the course of their follow-up. No patient had increased his or her
weight during the follow-up, and only three patients have not enjoyed sustained weight loss.
Conclusions: Laparoscopic gastric banding has much to recommend it. Certainly in the short term, its results in terms of effectiveness
of weight loss are at least as good as those of any open procedure. Longer follow-up will show whether this weight loss is
maintainable. The procedure is technically demanding, and the major prerequisite of satisfactory performance of this surgery
is laparoscopic experience.
Received: 12 May 1998/Accepted: 12 February 1999 |
| |
Keywords: | : Morbid obesity — Laparoscopy — Gastric banding |
本文献已被 SpringerLink 等数据库收录! |
|