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ISSN 1665-2576 (Print)

2008, Number 4

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Rev Mex Cir Endoscop 2008; 9 (4)

Results at long-term of the adjustable gastric band

Castillo GA, Maldonado VA, Cornejo LG, Cortés RP, Cabrera JR

Language: Spanish
References: 18
Page: 158-164
PDF size: 171.35 Kb.


ABSTRACT

Background: The adjustable gastric band (AGB) has been used in the last 15 years for the surgical management of morbid obesity. It is minimally invasive, restrictive in nature and technically easy to perform. It was approved by the FDA in June 2001. So far more than 350,000 BGA have been placed around the world, with good short term results in terms of weight loss. Series report a 65% of excess weight loss in a follow-up of 3 years. Objective: To analyze in a group of patients operated of AGB, weight loss in the short and long term, as well as complications. Material and methods: A retrospective study of patients who underwent BGA, by the same surgeon, from September 1996 to December 2006 was conducted. Results: The study included 230 patients 158 female and 72 male with an average age of 36 years for women and 35 years for men. The average body mass index (BMI) was 39 kg/m2 for women and 41 kg/m2 for men. The minimum BMI reached at follow-up was 28 kg/m2 for women and 32 kg/m2 men. The average long-term follow-up was 69.1 months and the average BMI at that time was 31 kg/m2 and 35 kg/m2 for men and women respectively. In 65 patients occurred complications. Conclusions: The AGB is a good method to achieve in the short term, but there is an increase in weight as well as complications, reoperations and band removals as the time goes by. This technique may be used in patients low BMI.


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