A prospective randomized trial of different laparoscopic gastric banding techniques for morbid obesity

Abstract

The placement of a LAP-BAND adjustable gastric banding system by the EGP technique is safe and results in a lower frequency of postoperative complications than its placement by the RGP technique. Clear anatomic landmarks are a benefit to education and to the learning curve for LASGB.

Evidence-based medicine: open and laparoscopic bariatric surgery

“…Weiner et al [123] compared two different surgical techniques of laparoscopic ASGB. In the first 50 patients, the band was placed around the stomach through an esophagogastric route (EGP), whereas in the next 51 patients, a retrogastric placement (RGP) of the band was performed.…”

Open-surgery management of morbid obesity: old experience?new techniques

“…The main reasons for the mini-invasive laparoscopic approach are the comfort of the patient with regard to postoperative pain and aesthetic surgery after weight reduction. The reported reduced complication rate is an effect of limiting the numbers of surgeons [7,15,21,53]. It does not mean that the approach is unimportant, we prefer the laparoscopic one in any case, but bariatric surgery is involved with more significant questions.…”

“…Two questions are combined, firstly, the surgical approach "open or mini-invasive", and secondly, "new techniques" [31,32,40,53].…”

Obstructive symptoms associated with the Lap-Band in the first 24 hours

“…Overall, the Lap-Band provides an adjustable and reversible solution for the treatment of morbid obesity, while maintaining the anatomy of the stomach [12]. Patients consistently lose weight, with minimal morbidity.…”

“…Weiner et al [12] performed a prospective randomized clinical trial in which 51 patients underwent retrogastric placement and 50 the esophagogastric placement. There were two cases of posterior gastric slippage and one of pouch dilatation in the retrogastric group, with no complications at all among the esophagogastric patients.…”