Obesity Surgery

, Volume 14, Issue 3, pp 415–418 | Cite as

Italian Group for Lap-Band System®: Results of Multicenter Study on Patients with BMI ≤35 kg/m2

  • L Angrisani
  • F Favretti
  • F Furbetta
  • A Iuppa
  • S B Doldi
  • M Paganelli
  • N Basso
  • M Lucchese
  • M Zappa
  • G Lesti
  • F D Capizzi
  • C Giardiello
  • N Di Lorenzo
  • A Paganini
  • L Di Cosmo
  • A Veneziani
  • S Lacitignola
  • G Silecchia
  • M Alkilani
  • P Forestieri
  • F Puglisi
  • A Gardinazzi
  • M Toppino
  • F Campanile
  • B Marzano
  • P Bernante
  • G Perrotta
  • V Borrelli
  • M Lorenzo
Article

Background: The Lap-Band System® is the most common bariatric operation world-wide. Current selection criteria do not include patients with BMI ≤ 35. We report the Italian multicentre experience with BMI ≤ 35 kg/m2 over the last 5 years. Patients and Methods: Data were obtained from 27 centres involved in the Italian Collaborative Study Group for Lap-Band System®. Detailed information was collected on a specially created electronic data sheet (MS Access 2000) on patients operated in Italy since January 1996. Items regarding patients with BMI ≤ 35 were selected. Data were expressed as mean ± SD except as otherwise indicated. Results: 225 (6.8%) out of 3,319 Lap-Band® patients were recruited from the data-base. 15 patients, previously submitted to another bariatric procedure (BIB =14; VBG= 1) were excluded. 210 patients were eligible for study (34M/176F, mean age 38.19±11.8, range 17-66 years, mean BMI 33.9±1.1, range 25.1-35 kg/m2, mean excess weight 29.5±7.1, range 8-41). 199 comorbidities were diagnosed preoperatively in 55/210 patients (26.2%). 1 patient (0.4%) (35 F) died 20 months postoperatively from sepsis following perforation of dilated gastric pouch. There were no conversions to laparotomy. Postoperative complications presented in 17/210 patients (8.1%). Follow-up was obtained at 6, 12, 24, 36, 48 and 60 months. At these time periods, mean BMI was 31.1±2.15, 29.7±2.19, 28.7±3.8, 26.7±4.3, 27.9±3.2, and 28.2±0.9 kg/m2 respectively. Co-morbidities completely resolved 1 year postoperatively in 49/55 patients (89.1%). At 60 months follow-up, only 1 patient (0.4%) has a BMI >30. Conclusions: Although surgical indications for BMI ≤ 35 remain questionable, the Lap-Band® in this study demonstrated that all but 1 patient achieved normal weight, and most lost their co-morbidities with a very low mortality rate.

OBESITY BARIATRIC SURGERY GASTRIC BANDING LAPAROSCOPY COMPLICATIONS WEIGHT LOSS CO-MORBIDITIES 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer 2004

Authors and Affiliations

  • L Angrisani
    • F Favretti
      • F Furbetta
        • A Iuppa
          • S B Doldi
            • M Paganelli
              • N Basso
                • M Lucchese
                  • M Zappa
                    • G Lesti
                      • F D Capizzi
                        • C Giardiello
                          • N Di Lorenzo
                            • A Paganini
                              • L Di Cosmo
                                • A Veneziani
                                  • S Lacitignola
                                    • G Silecchia
                                      • M Alkilani
                                        • P Forestieri
                                          • F Puglisi
                                            • A Gardinazzi
                                              • M Toppino
                                                • F Campanile
                                                  • B Marzano
                                                    • P Bernante
                                                      • G Perrotta
                                                        • V Borrelli
                                                          • M Lorenzo

                                                            There are no affiliations available

                                                            Personalised recommendations