Adjustable Gastric Banding in an Ambulatory Surgery Center |
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Authors: | Brad M Watkins Kevin F Montgomery Jessie H Ahroni Marc D Erlitz Ronald E Abrams James E Scurlock |
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Institution: | (1) Northwest Weight Loss Surgery, Kirkland, WA, USA;(2) Northwest Weight Loss Surgery, Kirkland, WA, USA;(3) Northwest Weight Loss Surgery, Kirkland, WA, USA;(4) Northwest Weight Loss Surgery, Kirkland, WA, USA;(5) Northwest Weight Loss Surgery, Kirkland, WA, USA;(6) Northwest Weight Loss Surgery, Kirkland, WA, USA |
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Abstract: | Background: We report our early experience with 343 consecutive patients who underwent laparoscopic adjustable gastric banding
(LAGB) as an outpatient procedure in a self-standing ambulatory surgery center. Methods: Between Apr 2003 and Feb 2005, data
was collected prospectively on 343 consecutive patients who underwent LAGB as an outpatient. Results: There were 305 females
(88.9%) and 38 males (11.1%), with mean age 43.5 years (±SD 9.9, range 19-67) and mean BMI 44.5 kg/m 2 (±SD 6.1, range 32.7-62.7).
Mean operating-room time was 52.9 (±16.3) minutes. 10 complications occurred in 9 patients (2.8%): 5 stoma occlusion, 3 port
problems requiring port replacement, 1 superficial wound infection, and 1 colon perforation associated with adhesiolysis requiring
band removal. 3 patients required admission to the hospital: 1 for nausea, 1 for observation after bloody nasogastric tube
drainage, and 1 for dysphagia due to esophageal spasm. All 9 patients with complications recovered fully. 1-year weight loss
data was available in 91 patients; mean percent excess weight lost (%EWL) at 1 year was 45.4% (±17.6). Conclusions: LAGB has
become an appropriate outpatient procedure in select patients. |
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Keywords: | MORBID OBESITY LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING AMBULATORY SURGERY |
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