Laparoscopic Swedish Adjustable Gastric Banding: a Five-Year Prospective Study
Abstract
Background Laparoscopic adjustable gastric banding is a popular bariatric operation in Europe. However, the long-term complication rate and weight loss are still unclear. Methods 824 patients underwent a laparoscopic Swedish Adjustable Gastric Banding (SAGB) in a 5-year period. Preoperative data, postoperative weight loss and long-term complications were prospectively obtained for analysis. Results Mean age of the 824 patients was 43 +/- 1 years, with mean preoperative BMI 43 +/- 1 kg/m(2). No intra- or postoperative death occurred in the first 30 postoperative days. Intraoperative conversion rate was 5.2%. Peri-operative complication rate was 1.2%. 97% of the patients were available for follow-up (maximum 5 years). Long-term complications occurred in 191 patients (23.2%). 135 complications (16.4%) were related to the band, and 56 (6.8%) to the access-port or to the tube. Mean excess weight loss was 30, 41, 49, 55 and 57 % after 1, 2, 3, 4 and 5 years respectively. 82.9% of the patients obtained >50% EWL after initial treatment. Conclusions The results of this study suggest that laparoscopic SAGB can achieve an effective weight loss, with an acceptable mortality and morbidity rate.
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The complication evidence base included those studies from the efficacy and predictors searches that included complication data, as well as those studies that met the expanded search criteria.
“The complication evidence base included those studies from the efficacy and predictors searches that included complication data,141,156 as well as those studies that met the expanded search criteria.139,143,145,146,152,153,160,170,171”
From 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults (2014) · cites this paper as [170]
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Surgical implantation and adjustment technique with the Realize Band System
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Port-Stapling zur Erleichterung der Portimplantation bei der laparoskopischen Magenbandoperation
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Banda gástrica ajustable laparoscópica
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- Authors
- Steffen, R., Biertho, L., Ricklin, T., Piec, G., & Horber, F. F.
- Affiliations
- Klinik Hirslanden (CH)
- Venue
- Obesity Surgery
- Published
- 2003-06-01
- Volume
- 13
- Issue
- 3
- Pages
- 404-411
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W1972956097
- Cited by
- 118
- References
- 18
- Citations by year
- 2024: 2 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 8 · 2012: 3
- FWCI
- 12.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Keywords
- laparoscopic adjustable gastric banding
- MeSH terms
- Adult, Equipment Design, Equipment Safety, Female, Follow-Up Studies, Humans, Intraoperative Complications, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Postoperative Complications, Prospective Studies, Sweden, Switzerland, Time Factors, Cohort Studies, Gastroplasty, Weight Loss, Body Mass Index, Incidence, Treatment Outcome, Risk Assessment, Device Removal
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