The American Journal of Surgery
Volume 184, Issue 2 , Pages 97-102, August 2002

Laparoscopic adjustable gastric banding for the treatment of morbid obesity

  • James D Evans, M.D.

      Affiliations

    • Department of Surgery, Whiston Hospital, Warrington Rd., Merseyside, L35 5DR, UK
    • Department of Surgery, University Hospital Aintree, Lower Lane, Liverpool L35 5DR, UK
    • Corresponding Author InformationCorresponding author. Tel.: +0151-525-5980; fax: +0151-529-4956
    • ,
  • Michael H Scott (Ch.M.)

      Affiliations

    • Department of Surgery, Whiston Hospital, Warrington Rd., Merseyside, L35 5DR, UK
    • ,
  • Annemarie S Brown (M.B., Ch.B.)

      Affiliations

    • Department of Surgery, Whiston Hospital, Warrington Rd., Merseyside, L35 5DR, UK
    • ,
  • John Rogers, M.D.

      Affiliations

    • The Gastro-oesophageal Reflux Disease (GORD) Centre, London, UK

Received 7 September 2001; received in revised form 12 March 2002

Abstract 

Background: This prospective study evaluated the effectiveness and safety of laparoscopic adjustable gastric banding (LAGB) for morbid obesity.

Methods: Ninety-five consecutive patients (89 female; median age 38 years, range 19 to 69) underwent LAGB for morbid obesity. Median weight and body mass index were 123.2 (88.9 to 228.6) kg and 45 (32.7-76.4) kg/m2 respectively. Significant coexistent disease was present in 52 (55%) patients.

Results: Median excess weight loss was 53% (range 96.9% to 12.1%) and 62% (range 107.5% to 32.3%) at 1 and 2 years respectively (P <0.001). Median operative time was 90 (range 35 to 285) minutes and inpatient stay 2 (range 1 to 10) days. Early complications were seen in 17 (18%) patients most commonly nausea/vomiting or dysphagia. Late complications were seen in 25 (26.3%) patients, most frequently vomiting or reflux due to band slippage or pouch dilatation. There was 1 (1%) operative death.

Conclusions: LAGB is an effective operation for morbid obesity that results in equivalent weight loss to open surgical procedures.

Keywords:  Morbid obesity, Gastric banding, Laparoscopy, Complications, Weight loss

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PII: S0002-9610(02)00915-7

The American Journal of Surgery
Volume 184, Issue 2 , Pages 97-102, August 2002

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