Skip to main content
SpringerLink
Log in

Combined Laparoscopic Gastric Banding and Stomach Reduction (GBSR): Initial Experience After 1 Year

  • Original Article
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Purpose

We combined laparoscopic adjustable gastric banding (LAGB) and laparoscopic partial gastrectomy into a single procedure (GBSR).

Methods

The 6- and 12-month percent excess weight loss (EWL) was compared to results expected from the literature for LAGB and laparoscopic Roux-en-Y gastric bypass (LRYGB) using t test. The time to band adjustment was compared with the 6-week period experienced in our setting for LAGB using a sign test.

Results

Eighteen patients were considered. One patient had gastric leak and had the band removed in postoperative day 1. Seventeen patients were followed-up. The patients, 4 men and 13 women, had a mean age of 38.8 years, an initial mean BMI of 52.4 kg/m2, and a mean of 8.3 comorbidities. All required outpatient band adjustment, eight at 4 months, eight at 5 months, and one at 6 months; the median 5 months was greater than the 6 weeks expected for LAGB (P < 0.001). The mean 6-month EWL, 28.6%, was similar to that expected for LAGB (P = 0.24) and less than that expected for LYRGB (P < 0.001). The mean 12-month EWL, 57.4%, was greater than that expected for LAGB (P < 0.001) and less than that expected for LYRGB (P < 0.001).

Conclusion

Although GBSR’s EWL at 6 and 12 months is less than that of LRYGB, GBSR should be further studied and applied in specific situations only.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. O’Brien PE, Brown WA, Dixon JB. Obesity, weight loss and bariatric surgery. Med J Aust. 2005;183:310–4.

    PubMed  Google Scholar 

  2. Parikh MS, Shen R, Weiner M, et al. Laparoscopic bariatric surgery in super-obese patients (BMI > 50) is safe and effective: a review of 332 patients. Obes Surg. 2005;15:858–63.

    Article  PubMed  Google Scholar 

  3. O’Brien PE, McPhail T, Chaston TB, et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006;16(8):1032–40.

    Article  PubMed  Google Scholar 

  4. Nguyen NT, Longoria M, Gelfand DV, et al. Staged laparoscopic Roux-en-Y: a novel two-stage bariatric operation as an alternative in the super-obese with massively enlarged liver. Obes Surg. 2005;15:1077–81.

    Article  PubMed  Google Scholar 

  5. Gagner M, Steffen R, Biertho L, et al. Laparoscopic adjustable gastric banding with duodenal switch for morbid obesity: technique and preliminary results. Obes Surg. 2003;13:444–9.

    Article  PubMed  Google Scholar 

  6. Ponce J, Paynter S, Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529–35.

    Article  PubMed  Google Scholar 

  7. Andrew CG, Hanna W, Look D, et al. Early results after laparoscopic Roux-en-Y gastric bypass: effect of the learning curve. Can J Surg. 2006;49:417–21.

    PubMed  Google Scholar 

  8. Burhop JW, Chiang MC, Engstrand DJ, et al. Laparoscopic bariatric surgery can be performed safely in the community hospital setting. WMJ. 2005;104:48–53.

    PubMed  Google Scholar 

  9. Ponce J, Paynter S, Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529–35.

    Article  PubMed  Google Scholar 

  10. Provost DA. Laparoscopic adjustable gastric banding: an attractive option. Surg Clin North Am. 2005;85:789–805.

    Article  PubMed  Google Scholar 

  11. Frezza EE, Barton A, Herbert H, et al. Laparoscopic sleeve gastrectomy with endoscopic guidance in morbid obesity. Surgery for Obesity and Related Diseases. 2007; (in press).

  12. Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg. 2006;16:1323–26.

    Article  PubMed  Google Scholar 

  13. Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients; report of two-year results. Surg Endosc. 2007;21:1810–6.

    Article  PubMed  Google Scholar 

  14. Consten EC, Gagner M, Pomp A, et al. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg. 2004;14:1360–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street, MS 8312, Lubbock, TX, 79430, USA

    Eldo E. Frezza & Haleigh Herbert

  2. Department of Pathology, Texas Tech University Health Sciences Center, Lubbock, TX, USA

    Mitchell S. Wachtel

Authors
  1. Eldo E. Frezza
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Haleigh Herbert
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mitchell S. Wachtel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eldo E. Frezza.

Additional information

Presented at SAGES in Las Vegas.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Frezza, E.E., Herbert, H. & Wachtel, M.S. Combined Laparoscopic Gastric Banding and Stomach Reduction (GBSR): Initial Experience After 1 Year. OBES SURG 18, 690–694 (2008). https://doi.org/10.1007/s11695-007-9251-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-007-9251-7

Keywords

Search

Navigation