Obesity Surgery

, Volume 13, Issue 3, pp 404–411 | Cite as

Laparoscopic Swedish Adjustable Gastric Banding: a Five-Year Prospective Study

  • Rudolf Steffen
  • Laurent Biertho
  • Thomas Ricklin
  • Gracyna Piec
  • Fritz F Horber
Article

Background: Laparoscopic adjustable gastric banding is a popular bariatric operation in Europe. However, the long-term complication rate and weight loss are still unclear. Methods: 824 patients underwent a laparoscopic Swedish Adjustable Gastric Banding (SAGB) in a 5-year period. Preoperative data, postoperative weight loss and long-term complications were prospectively obtained for analysis. Results: Mean age of the 824 patients was 43 ± 1 years, with mean preoperative BMI 43 ± 1 kg/m2. No intra- or postoperative death occurred in the first 30 postoperative days. Intraoperative conversion rate was 5.2%. Peri-operative complication rate was 1.2%. 97% of the patients were available for follow-up (maximum 5 years). Long-term complications occurred in 191 patients (23.2%). 135 complications (16.4%) were related to the band, and 56 (6.8%) to the access-port or to the tube. Mean excess weight loss was 30, 41, 49, 55 and 57 % after 1, 2, 3, 4 and 5 years respectively. 82.9% of the patients obtained >50% EWL after initial treatment. Conclusions: The results of this study suggest that laparoscopic SAGB can achieve an effective weight loss, with an acceptable mortality and morbidity rate.

LAPAROSCOPY SWEDISH ADJUSTABLE GASTRIC BANDING MORBID OBESITY BARIATRIC SURGERY 

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Copyright information

© Springer 2003

Authors and Affiliations

  • Rudolf Steffen
    • Laurent Biertho
    • Thomas Ricklin
    • Gracyna Piec
    • Fritz F Horber

    There are no affiliations available

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