>Year 2003, Issue 4
Álvarez CR, Aragón VE, Montoya RJ, Rocky VK, Toledo DA, Santa Rita SG, Sánchez RAL, Aquino AJ
Treatment of severe obesity with adjustable gastric band. Analysis of 445 patients
Cir Gen 2003; 25 (4)
PDF: 4. Kb.
Objective: To inform our experience in the use of the adjustable gastric band for severe obesity in 445 patients.
Design: Observational, retrospective, longitudinal study.
Setting: Third level health care hospital.
Measures: Central tendency measures and percentages.
Methods and material: We reviewed the clinical histories of 500 patients cared for from 1996 to 2002; all were studied according to the International Protocol of the Obesity Surgery Federation that includes: clinical history, biochemical profile, cardiovascular evaluation and pre-anesthetic assessment for surgical risk. An adjustable gastric band (Lapband) of 1 cm was placed at the esophageal gastric junction in all patients. We evaluated: weight, body mass index, percentage of body fat, records of biochemical profile, quality of life, co-morbidity, morbidity, and mortality.
Results: Fifty-five patients (11%) were lost during follow-up, leaving 445 patients for evaluation. From these, 363 (82%) were women and 82 (18%) were men; body weight ranged from 85 to 281 kg, the body mass index varied from 35.6 to 77.8, and body fat between 35 and 72%. Follow-up time was of 5 years. The mean weight loss was 36% during the first year, 59% during the second, 68% during the third, 69% during the fourth, and 65% during the fifth year. The three main co-morbidity’s were stress dyspnea, depression and/or anxiety, and joints pain. Seven (1.5%) early complications were encountered, 15 (3.3%) patients presented late complications; only four (0.9%) patients had to be converted to open surgery. No deaths occurred.
Conclusion: The adjustable gastric band placed through laparoscopy helps to loose weight, corrects co-morbidity’s, and has a low morbidity.
||Obesity, surgery for obesity, adjustable gastric band.
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>Year 2003, Issue 4