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Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity
Paul E. O'Brien, MD, FRACS;
John B. Dixon, MBBS, FRACGP
Arch Surg. 2003;138:376-382.
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INTRODUCTION
The epidemic of obesity requires an intervention that is both effective and broadly acceptable. Conventional medical programs have been ineffective. Traditional surgical approaches, such as gastric bypass and biliopancreatic diversion, are accepted by less than 1% of the severely obese each year. Laparoscopic adjustable gastric banding (LAGB) has been in clinical use for 8 years and it is timely to look at the developments in technique and to look at the outcomes for safety, effectiveness, and acceptability. Data are based on our clinical experiences and research reports derived from 1145 patients treated to date by laparoscopic adjustable gastric banding. We have also drawn on the published literature and on a systematic review of the literature about LAGB published by the Australian Safety and Efficacy Register of New Interventional Procedures–Surgical. Generally reports that have included more than 100 patients and 3 . . . [Full Text of this Article]
EVOLUTION OF TECHNIQUE FOR LAGB AND FOLLOW-UP
OUTCOMES AFTER LAGB
Early Complications and Deaths Late Complications
WEIGHT LOSS
IMPROVEMENTS IN HEALTH AND QOL
Type 2 DM Hypertension Dyslipidemia Asthma Gastroesophageal Reflux Disease Sleep Disordered Breathing Pregnancy
CHANGE IN QOL
ATTRIBUTES OF THE LAGB
THE CHALLENGE
From the Department of Surgery, Monash University, The Alfred Hospital, Melbourne, Australia. Both authors have received support from Inamed Health, manufacturer of the BioEnterics Lap-Band System, and from US Surgical, manufacturer of stapling instruments. They also receive funds from teaching programs for surgeons and physicians in the placement of the Lap-Band.
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