E. A. Tweddle MB BS (Hons), DRANZCOG; S. Woods MB BS, FRACS; S. Blamey MB BS, FACS, FRACS.
Laparoscopic gastric banding: safe and modestly successful
Article first published online: 1 APR 2004
ANZ Journal of Surgery
Volume 74, Issue 4, pages 191–194, April 2004
How to Cite
Tweddle, E. A., Woods, S. and Blamey, S. (2004), Laparoscopic gastric banding: safe and modestly successful. ANZ Journal of Surgery, 74: 191–194. doi: 10.1111/j.1445-2197.2004.02910.x
- Issue published online: 1 APR 2004
- Article first published online: 1 APR 2004
- Accepted for publication 12 January 2004.
- laparoscopic gastric banding;
- morbid obesity;
- surgical complication;
- surgical device;
- weight loss
Background: Obesity is an increasing problem in Australia. It is defined as a body mass index (BMI) >30 kg/m2. It is associated with a number of significant medical conditions, as well as psychological morbidity related to poor body image and the social stigma of obesity. Conservative management is rarely successful in patients with morbid obesity and bariatric surgery is an alternative more likely to produce sustained results.
Methods: To compare the initial results of the Lap-Band (Inamed Health, Santa Barbara, CA, USA) procedure when performed by experienced general laparoscopic surgeons, new to the procedure and those achieved by dedicated bariatric practitioners.
Results: The results of the present study showed forty-seven per cent excess weight lost at 2 years, 49% excess BMI lost at 2 years. Reoperation rate for band removal, prolapse/slippage was 25.3%.
Conclusions: Acceptable results with Lap-Band are technically achievable by experienced laparoscopic surgeons with a low morbidity and mortality. The results of the present study are inferior to those reported by dedicated bariatric practices who have performed large numbers of this operation. The rate of band slippage was unacceptably high and there was a significant problem with patients being lost to follow up. Possible reasons for this are discussed.