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Laparoscopic Adjustable Gastric Banding: The Physician’s Choice in Bariatric Surgery

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Controversies in Obesity

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Abstract

The laparoscopic adjustable gastric banding (LAGB) procedure is one of the most remarkable advances in weight management. The clear need to adjust the gastric “restriction” component of bariatric surgery to achieve great results was seen independently by two of the greatest innovators in bariatric surgery. The simultaneous light bulb moments, with clever modification, were soon adapted for the emerging laparoscopic era of surgery and were the very first laparoscopic bariatric procedures. Ongoing improvements in band technology, placement, and management have reduced morbidity and long-term complications and improved the effectiveness of LAGB. Today, LAGB offers patients fewer procedural complications and decreased hospital time compared with other weight-loss surgeries and excellent sustained weight loss if managed appropriately.

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Disclosures

Associate Professor Dixon is a consultant for Allergan Inc., Metagenics Inc. (Bariatric Advantage), and formerly Scientific Intake. He is also on the medical advisory board for Optifast, Nestle Australia. Our laboratory currently receives research funding from Medtronics Inc. (formally Ardian Inc.), Abbott (formerly Solvay) Pharmaceuticals, Allergan Inc., Servier and Scientific Intake. These organizations played no role in the design, analysis, or interpretation of data described here nor preparation, review, or approval of the manuscript.

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Authors and Affiliations

  1. Primary Care Research Unit, Clinical Obesity Research, and Weight Assessment and Management Clinic, Baker IDI Heart and Diabetes Institute, Monash University, 75 Commercial Road, Melbourne, VIC, 3004, Australia

    John B. Dixon MBBS, PhD, FRACGP, FRCPEdin, NHMRC

Authors
  1. John B. Dixon MBBS, PhD, FRACGP, FRCPEdin, NHMRC
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Corresponding author

Correspondence to John B. Dixon MBBS, PhD, FRACGP, FRCPEdin, NHMRC .

Editor information

Editors and Affiliations

  1. Watton Place Clinic, Watton-at-Stone, Hertfordshire, United Kingdom

    David W. Haslam

  2. Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

    Arya M. Sharma

  3. Department of Pathology, Diabetes Complications Research Centre, University College Dublin, Dublin, Ireland

    Carel W. le Roux

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© 2014 Springer-Verlag London

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Dixon, J.B. (2014). Laparoscopic Adjustable Gastric Banding: The Physician’s Choice in Bariatric Surgery. In: Haslam, D., Sharma, A., le Roux, C. (eds) Controversies in Obesity. Springer, London. https://doi.org/10.1007/978-1-4471-2834-2_29

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  • DOI: https://doi.org/10.1007/978-1-4471-2834-2_29

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2833-5

  • Online ISBN: 978-1-4471-2834-2

  • eBook Packages: MedicineMedicine (R0)

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