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Results and complications after Swedish adjustable gastric banding-10 years experience.

https://arctichealth.org/en/permalink/ahliterature148484
Source
Obes Surg. 2009 Dec;19(12):1636-41
Publication Type
Article
Date
Dec-2009
Author
Reinhard P Mittermair
Sabine Obermüller
Alexander Perathoner
Michael Sieb
Franz Aigner
Raimund Margreiter
Author Affiliation
Department of Surgery, Medical University Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria. reinhard.mittermair@uki.at
Source
Obes Surg. 2009 Dec;19(12):1636-41
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Body mass index
Body Weight
Female
Gastroplasty - adverse effects - methods
Humans
Laparoscopy
Longitudinal Studies
Male
Middle Aged
Obesity, Morbid - epidemiology - surgery
Reoperation
Sweden - epidemiology
Weight Loss
Young Adult
Abstract
Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic adjustable gastric banding is that this operation is minimally invasive to the stomach and adjustable to the patient's needs. Few long-term studies on Swedish adjustable gastric banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.
Between January 1996 and January 2006, 785 consecutive patients (81% women, 19% men) underwent laparoscopic SAGB. All data (demographic and morphologic, operative, and annual follow-up data) were prospectively collected in a computerized data bank. The postoperative follow-up program was performed largely by residents while 30 different surgeons performed the operation.
Follow up data were available for 733 patients (98.3%); 52 patients (6.6%) were lost to follow-up. The median follow-up was 3.0 years (range, 1-10 years). The median total weight loss was 26 kg after 1 year and 40.5 kg after 8 years with a median EWL of 65.5% after 8 years. The median BMI decreased from 42.9 to 28.3 kg/m2. A total number of 688 complications occurred in 396 patients (50.4%). The most common complications were esophagitis (28.8%), pouch dilation (15.3%), esophageal dilation (12.5%), port problems (11%), band migration (6.5%), and band leakage (6.4%). Overall, 251 reoperations (32%) were performed. There was no mortality.
From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for gastric banding.
PubMed ID
19763708 View in PubMed
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Results and complications after Swedish adjustable gastric banding in older patients.

https://arctichealth.org/en/permalink/ahliterature154905
Source
Obes Surg. 2008 Dec;18(12):1558-62
Publication Type
Article
Date
Dec-2008
Author
Reinhard P Mittermair
Franz Aigner
Sabine Obermüller
Author Affiliation
Department of Surgery, University Hospital Innsbruck, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. reinhard.mittermair@uki.at
Source
Obes Surg. 2008 Dec;18(12):1558-62
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Aged
Body mass index
Female
Gastroplasty - adverse effects
Humans
Male
Middle Aged
Obesity, Morbid - surgery
Reoperation - statistics & numerical data
Sweden
Treatment Outcome
Abstract
Swedish adjustable gastric banding (SAGB) is an effective treatment for morbid obesity. The aim of this study was to assess the efficacy and safety of SAGB in older patients aged >or=50 years.
Between January 1996 and January 2006, 134 patients (102 women, 32 men) of 785 consecutive patients who underwent SAGB during the study period were aged >or=50 years. Two groups of patients were analyzed: Group 50 (n=107) patients aged 50-59 years and Group 60 (n=27) patients aged 60-69 years. All data (demographic and morphologic data, operative data, and follow-up data) were prospectively collected in a computerized databank.
One hundred thirty-four patients (17.1%) out of 785 entered the study. Mean percentage of excess weight loss (%EWL) was 37.5 at 1 year and 48.8 at 7 years, body mass index (BMI) fell from 43.3 to 33.1 at 7 years. In the 134 patients, there were 65 patients with 121 complications (48.5%) and 69 patients with no complication (51.5%). The most common complications were esophagitis (27%), esophageal dilation (16%), port problems (11%), pouch dilation (11%), band leakage (9%), and band migration (7%). Overall, 46 patients (34%) needed a reoperation. In Group 50, mean %EWL was 38.4 at 1 year and 54.9 at 7 years. BMI fell from 42.9 to 33.1 at 7 years. In the 107 patients, there were 55 patients with 99 complications (51%) and a reoperation rate of 35.5%. In Group 60, mean %EWL was 32.8 at 1 year and 41.2 at 7 years. BMI fell from 44.3 to 34 at 7 years. In the 27 patients, there were ten patients with 22 complications (37%) and a reoperation rate of 29.6%. There was no mortality.
At 7-year follow-up, for older patients, SAGB is an effective bariatric procedure for achieving weight loss. Nevertheless, based on the high complication and reoperation rate, a gastric band-specific patient selection will be necessary.
PubMed ID
18830777 View in PubMed
Less detail