Laparoscopic surgery in the treatment of morbid obesity: first experiences with the Swedish adjustable gastric band at "Sestre milosrdnice" University Hospital
Abstract
Morbid obesity should be comprehended as an evolving chronic disease that is accompanied by various hazardous comorbidities with their potential lethal complications. Individuals who have a Body Mass Index (BMI) of 40 kg/m2 and above are considered to be morbidly obese and generally qualify for weight-loss surgery. Furthermore, patients with a BMI of >35 kg/m2 with at least one severe comorbidity are also considered to be candidates for surgery.Laparoscopic implantation of the Swedish Adjustable Gastric Band (SAGB) is a minimally invasive surgical procedure that has encountered a growing popularity and represents one of the most commonly performed restrictive bariatric surgical procedures. The fast laparoscopic gastric banding with the SAGB at University Hospital Sestre Milosrdnice was performed in May 2004. The case of a patient who had a BMI of 47 kg/m2 and weighed 161 kg at the time of admittance is shown. The SAGB was successfully implanted, the postoperative course was satisfactory and the patient was discharged in good condition. Three weeks after the procedure he weighed 142kg, had no feeling of hunger and there was no further need for insulin as blood glucose levels normalized and blood pressure was within normal values.
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References
Abu-Abeid S, Keidar A, Gavert N, Blanc A, Szold A. The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2003 Jun;17(6):861-3. Epub 2003 Mar 7.
Angrisani L, Furbetta F, Doldi SB et al. Lap Band adjustable gastric banding system: the Italian experience with 1863 patients operated on 6 years. Surg Endosc. 2003 Mar;17(3):409-12. Epub 2002 Dec 4.
DeMaria EJ, Sugerman HJ, Meador JG et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001 Jun;233(6):809-18.
Hallberg D, Forsell P: Ballongband vid behandling av massiv övervikt. Svensk Kirurgi 1985;43:106.
Luján JA, Hernandez Q, Frutos MD, Valero G, Cuenca JR, Parrilla P. Laparoscopic gastric bypass in the treatment of morbid obesity. Preliminary results of a new technique. Surg Endosc. 2002 Dec;16(12):1658-62. Epub 2002 Jul 29.
Mittermair RP, Weiss H, Nehoda H, Kirchmayr W, Aigner F. Laparoscopic Swedish adjustable gastric banding: 6-year follow-up and comparison to other laparoscopic bariatric procedures. Obes Surg. 2003 Jun;13(3):412-7.
Ren CJ, Weiner M, Allen JW. Favorable early results of gastric banding for morbid obesity: the American experience. Surg Endosc. 2004 Mar;18(3):543-6. Epub 2004 Feb 2.
Suter M, Bettschart V, Giusti V, Heraief E, Jayet A. A 3-year experience with laparoscopic gastric banding for obesity. Surg Endosc. 2000 Jun;14(6):532-6.
Suter M1, Giusti V, Héraief E, Zysset F, Calmes JM. Laparoscopic gastric banding. Surg Endosc. 2003 Sep;17(9):1418-25. Epub 2003 Jun 17.
Szold A, Abu-Abeid S. Laparoscopic adjustable silicone gastric banding for morbid obesity: results and complications in 715 patients. Surg Endosc. 2002 Feb;16(2):230-3. Epub 2001 Oct 5.
Valen B, Munk AC. Long term effects o gastric banding for weight reduction. Tidsskr Nor Laegeforen. 2000 Jun 30;120(17):1995-6.
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