Laparoscopic Adjustable Esophagogastric Banding: a Preliminary Experience

Niville, Erik; Vankeirsbilck, J; Dams, Anne; Anné, T

doi:10.1381/096089298765555033

Cited by 38 publications

(10 citation statements)

References 5 publications

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“…Weight reduction is a little slower than in our series of vertical banded gastroplasty, but it progresses for a longer period [16]. Other series with a follow-up of >1 year have shown similar results, with a mean percentage of excess weight loss between 48 and 70% [5,8,9,12,13,15]. Interestingly, O'Brien recently showed that weight reduction can progress for up to 4 years after the initial rapid fall usually seen following bariatric surgery [13].…”

Section: Discussionsupporting

confidence: 67%

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A 3-year experience with laparoscopic gastric banding for obesity

et al. 2000

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Laparoscopic gastric banding is followed by a weight reduction that is similar to that observed after vertical banded gastroplasty, with a much lower postoperative morbidity, a shorter hospital stay, and an earlier resumption of normal activities. If these results can be confirmed by long-term follow-up, laparoscopic gastric banding will be confirmed as the restrictive procedure of choice for morbid obesity.

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Section: Discussionsupporting

confidence: 67%

“…Some authors have proposed a posterior fixation of the band [4]. Others stressed the importance of placing the band above the lesser sac [7], or even placing the band posteriorly at the esophagogastric junction [12]. We have modified our technique according to these reports and now place the band above the lesser sac.…”

Section: Discussionmentioning

confidence: 99%

A 3-year experience with laparoscopic gastric banding for obesity

et al. 2000

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“…Neither of these hypotheses however has been proven yet, although investigations from Forsell indicated a pouch enlargement of 7–8 times the initial size [21]. The results of our series, confirmed by other authors, were unsatisfactory [12, 17, 22]. To overcome these technical problems and improve the results the operation technique has been adjusted to a higher-positioned band above the lesser sac creating a smaller pouch of 10–15 cm 3 .…”

Section: Discussionsupporting

confidence: 55%

“…FSPD is considered to be a result from pouch dilatation [6, 8, 10, 11, 12, 13, 14, 15]and/or slipping of the posterior stomach wall through the band [8, 9, 10, 16, 17, 18, 19, 20]. Neither of these hypotheses however has been proven yet, although investigations from Forsell indicated a pouch enlargement of 7–8 times the initial size [21].…”

Section: Discussionmentioning

confidence: 99%

Adjustable Silicone Gastric Banding: Can We Continue the Original Technique of Kuzmak?

et al. 1999

Dig Surg

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Background: Kuzmak developed a horizontal gastroplasty for morbid obesity using his adjustable silicone gastric banding (ASGB). The aim of this study was to evaluate the efficiency at weight loss, early and late morbidity and mortality. Method: The records of 44 patients (mean age 36 years) were reviewed. The indication for ASGB was a BMI >40 (group A = 37 patients) or a BMI between 35 and 40 with obesity-related morbidity (group B = 7 patients). The mean preoperative BMI was 44 (±5). The paired t test was used to evaluate the BMI. Results. Early complications occurred in 5 patients: splenic injury (n = 1), aspiration pneumonia (n = 1), wound infection (n = 1), gastric perforation (n = 2); mortality was 2%. Late complications occurred in 19 patients: 17 patients (39%) had a functional stenosis with pouch dilatation (FSPD) and 6 patients had an injection port leakage (14%). At the 1-year follow-up, the mean BMI (of the 39 patients available) was 30 (±5) and remained stable. At 36 months, 54% of group A and 100% of group B had a BMI <30. Conclusion: The original technique of Kuzmak is effective to lose weight. However the technique must be adjusted in order to decrease the unacceptable high incidence of FSPD.

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“…Ó õ³ðóðã³÷í³é êë³í³ö³ Óêðà¿íñüêîãî íàóêîâî-ïðàêòè÷íîãî öåíòðó åíäîêðèííî¿ õ³ðóðã³¿, òðàíñ-ïëàíòàö³¿ åíäîêðèííèõ îðãàí³â ³ òêàíèí ÌÎÇ Óê-ðà¿íè îïàíîâàíî òåõí³êó ëàïàðîñêîï³÷íîãî áàíäàaeóâàííÿ øëóíêà ñèñòåìîþ Làð-Band, çà-ïðîïîíîâàíó 1998 ðîêó äîêòîðîì E. Niville [5] òà íàçâàíó "øëóíêîâî-õàð÷îâèì áàíäàaeóâàí-íÿì". Õ³ðóðã³÷íå âòðó÷àííÿ âèêîíóºòüñÿ ÷åðåç ï'ÿòü ïîðò³â (â³äåîêàìåðà, 2 ðîáî÷³ ³íñòðóìåí-òè, ðåòðàêòîð äëÿ ïå÷³íêè òà çàòèñêà÷-ãðàñïåð äëÿ òðàêö³¿ øëóíêà).…”

Section: безпосередні та віддалені результати хірургічного лікування unclassified