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Surgical Approaches to the Treatment of Obesity

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Imaging in Bariatric Surgery

Abstract

Laparoscopic adjustable silicone gastric banding (LAGB) was the first bariatric procedure to be performed by a laparoscopic approach. Introduction of LAGB into clinical practice was an immediate success in Europe as well as in Australia. Although sleeve gastrectomy, standard Roux-en-Y gastric bypass (RYGBP), and biliopancreatic diversion with duodenal switch (BPD-DS) currently represent the majority of laparoscopic bariatric/metabolic procedures in the United States and Canada, laparoscopic gastric banding during the last 10 years has been growing acceptance by physicians as well as by patients. The idea behind the operation is to “create” a small pouch in the upper part of the stomach with a controlled and adjustable stoma, without stapling, thus limiting the daily food intake (restrictive procedure). The silicone prosthesis is placed around the stomach just below the gastroesophageal junction, creating a 15–20 mL pouch (virtual pouch) (Fig. 2.1). This operation does not involve neither rerouting of food through the upper gastrointestinal tract nor exclusion of intestinal segments. The weight loss process in the short and long term is due to the food intake restriction and early satiety. In the highest quality study, excess body weight loss at 1 year after LAGB is 48%. At this time the hypertension, diabetes, dyslipidemia, and sleep apnea resolution rate were about 55%, 58%, 42%, and 45%, respectively [1]. The LAGB represents the bariatric procedure with the lower reported incidence of short- and midterm adverse events [2–4]; however, long-term data show a higher incidence of postoperative acute complications leading to band repositioning or removal and eventually conversion to other procedures [5–7].

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Authors and Affiliations

  1. General and Bariatric Surgery Unit, Medico-Surgical Sciences and Biotechnologies-Sapienza University of Rome, Latina, Italy

    Mario Rizzello, Francesca Abbatini & Gianfranco Silecchia

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  1. Mario Rizzello
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  2. Francesca Abbatini
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  3. Gianfranco Silecchia
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Editors and Affiliations

  1. Department of Radiological Oncological and Pathological Sciences, Polo Pontino, I.C.O.T. Hospital University of Rome SAPIENZA, Latina, Italy

    Andrea Laghi

  2. Department of Radiological Oncological and Pathological Sciences, Polo Pontino, I.C.O.T. Hospital University of Rome SAPIENZA, Latina, Italy

    Marco Rengo

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Rizzello, M., Abbatini, F., Silecchia, G. (2018). Surgical Approaches to the Treatment of Obesity. In: Laghi, A., Rengo, M. (eds) Imaging in Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-49299-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-49299-5_2

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