Obesity Surgery

, Volume 12, Issue 4, pp 569–572

Experience with Lap-Band System® up to 7 Years

Authors

  • Marc Vertruyen
Article

DOI: 10.1381/096089202762252361

Cite this article as:
Vertruyen, M. OBES SURG (2002) 12: 569. doi:10.1381/096089202762252361

Background: Morbid obesity occurs in 2-5% of the population of Western countries. Laparoscopic adjustable silicone gastric banding was designed to be a minimally invasive, adjustable and reversible procedure for the treatment of morbid obesity. Material and Methods: The Lap-band System® was evaluated retrospectively in a series of 543 patients. Data on preoperative aspects and postoperative outcome and weight loss patterns at up to 7 years follow-up (median follow-up 36 months) are presented. Results:The most important late complication was total and irreversible food intolerance due to proximal pouch dilatation, which occurred in 24 patients (4.6%). 20 of these patients (3.8%) had had a proximal pouch calibration with 25 cc; 4 patients were calibrated with 15 cc. The mean BMI had fallen from 44 kg/m2 to 33.2 kg/m2 and was stable after a follow-up of up to 86 months (median 36 months). Conclusion: The Lap-band System® is an effective procedure for achieving appreciable and stable weight loss at up to 7 years of follow-up (median 36 months). The minimally invasive approach was associated with a short hospital stay and a low rate of complications. Preoperative patient selection, detailed information and availability of the multidisciplinary team permitted us to achieve good longstanding results.

MORBID OBESITYBARIATRIC SURGERYGASTRIC BANDINGLAPAROSCOPYLAPAROSCOPIC ADJUSTABLE SILICONE GASTRIC BANDING

Copyright information

© Springer 2002