medigraphic.com
ISSN 1665-2576 (Print)

2001, Number 3

<< Back Next >>

Rev Mex Cir Endoscop 2001; 2 (3)

Laparoscopic gastric banding for the surgical treatment of severel obesity

Cerón RF

Language: Spanish
References: 25
Page: 123-126
PDF size: 89.04 Kb.


ABSTRACT

Objective: Report and description of the adjustable gastric banding (Swedish) by laparoscopy, for the surgical treatment of severe obesity; the first 100 cases. Site: Teaching hospital. Material and patients: Whit experience of 46 gastric Bypasses and 248 Vertical Gastroplasties with the Sylastic Ring via laparotomy (October 1991 to April 1998), during the period of May 1998 and March 2001 respectively, we operated a total of 100 patients, by Laparoscopy gastric Banding for surgical treatment for severe obesity, describing the study protocol the technique and the results. Results: A total of 100 patients were operated, 74 female (74%) and 26 male (26%) with an age percentage of 40.5 years (13 to 68), and BMI on the average of 41.5 kg/m2 the corporal area (37 to 46). In 97 patients (97%) the technique was done via laparoscopy and in 3 (3%) installed via laparotomy because of previous surgery, in the 97 cases of laparoscopy, in two cases had been changed because of technical difficulty (2.06%), it was present a case of gastric perforation (1.03%) and in the other (1.03%) the band was removed 15 days later because the patient refusal. Lost of weight a month later of 12 kg. Up to date in has not been any case of mortality. Conclusions: The Laparoscopic Gastric Banding has demonstrate to be good technique for the surgical treatment in severe obesity, but it is recommended to have a good training in traditional techniques, and to have very good experience in laparoscopy of the hiatus.


REFERENCES

  1. Metropolitan Life Foundation. Height and Weight Table. New York: Metropolitan Life Company, 1983.

  2. Drenick EJ, Bale GS, Seltzer F, Johnson DG. Excessive mortality and causes of death in morbidly obese men. JAMA 1980; 243: 443-5.

  3. Gleysteen JJ, Barboriak JJ, Sasse EA. Sustained coronary risk-factor reduction after gastric bypass for morbid obesity. Am J Clin Nutr 1990; 51: 774-8.

  4. Deitel M. Cowam SMG. An international surgical journal for research and treatment massive obesity. Obesity Surg 1991: 1-7.

  5. Mason EE, Amaral JF, Cowan GSM, Deitel M, Gleystee JJ, Oria HE. Guidelines for selection of patients for surgical treatment of obesity. Obes Surg 1993; 3: 429.

  6. Cerón RF. Indicaciones para la cirugía de la obesidad. Cirujano General 1999: 279-80.

  7. Mason EE. Morbid obesity: use of vertical banded gastroplasty. Surg Clin North Am 1987; 67: 521-37.

  8. Linner JH, Drew RL. Why the operation we prefer is the Roux-en-Y gastric bypass? Obes Surg 1991; 3: 305-6.

  9. MacLean LD, Rhode BM, Shizgal HM. Gastroplasty for obesity. Surg Gynecol Obstet 1981; 253: 200-8.

  10. Brolin RE. Critical analysis of results; weight loss quality of data. Am J Clin Nutr 1992; 55( 2 Suppl): 577S-81S.

  11. Kuzmak LI. A preliminary report of silicon gastric banding for obesity. Clin Nutr 1986; 5: 73-7.

  12. Kuzmak LI. A review of seven years experience with silicone gastric banding. Obes Surg 1991; 1: 403-8.

  13. Kuzmak LI. Future plans in adjustable silicone gastric banding; potential for laparoscopic operations. Obes Surg 1993; 3: 98.

  14. Favretti F, Cadiere GB, Segato G. Laparoscopic placement of adjustable silicon gastric banding; early experience. Obes Surg 1995; 5: 71-3.

  15. Belachew M, Legrand M, Defechereux TH, Butheret MP, Jacquet N. Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity. A preliminary report. Surg Endosc 1994: 1354-6.

  16. Belachew M, Legrand M, Vincent V. Laparoscopic placement of adjustable silicone gastric banding in the treatment of morbid obesity; how to do it. Obes Surg 1995; 5: 66-70.

  17. Forsell P, Halberg D, Hellers G. Gastric banding for morbid obesity: Initial experience with a new adjustable band. Obes Surg 1993; 3: 369-79.

  18. Forsell P, Halberg D, Hellers G. A gastric band with adjustable inner diameter for obesity surgery. Obes Surg 1993; 3: 303-6.

  19. Forsell P, Hellers G. The Swedish Adjustable Gastric Banding (SAGB) for morbid obesity: 9 years experience and 4 years follow-up of patients operated with a new adjustable band. Obes Surg 1997; 7: 345-51.

  20. Sjoberg EJ, Andersen E, Hoel R et al. Gastric banding in the treatment of morbid obesity. Acta Chir Scand 1989; 155: 31-4.

  21. Favretti F, Enzi G, Pizzirani E et al. Adjustable silicone gastric banding (SAGB): the Italian experience. Obes Surg 1993; 3: 53-6.

  22. Fox RS, Hyun Oh K, Fox KM. Adjustable silicone gastric banding vs vertical banded gastroplasty: a comparison of early results. Obe Surg 1993; 2: 181-4.

  23. De la Garza LJ. Banda gástrica ajustable laparoscópica sueca. Cirujano General 1999; 21: 4 305-9.

  24. Ramírez Wiella SG, Castillo GA, Álvarez CR. Banda gástrica ajustable por laparoscopia (Lap-Band). Cirujano General 1999; 21: 4 302-304.

  25. Ganci-Cerrud G, Blanco-Gallardo A, Pantoja J, Gamino R, González BJ, Herrera HM. Gastroplastia vertical en banda por laparoscopia. Cirujano General 1999; 21: 4 310-13.




2020     |     www.medigraphic.com