Outpatient Laparoscopic Gastric Banding: Initial Experience

Waele, Boudewijn De; Lauwers, M. H.; Nieuwenhove, Yves Van; Delvaux, Georges

doi:10.1381/0960892041975631

Cited by 32 publications

(26 citation statements)

References 13 publications

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“…The present results add to a growing literature documenting the safety of performing LAGB in the outpatient setting [7,11,18,19]. In this report, 15 of 1,641 (0.91%) experienced complications during surgery or within 30 days of surgery, and none of these were life threatening.…”

Section: Discussionsupporting

confidence: 65%

“…Cost analysis of outpatient LAGB surgery was not a part of this study but it will be important to address this issue in future studies. Results of the present study, combined with those in the published literature [7,11,18,19], suggest that the low complication rate associated with outpatient LAGB-particularly in the hands of experienced surgeons-provides an important treatment option for obese patients. LAGB is a reproducible operation that allows comparison between centers in both efficacy and safety.…”

Section: Discussionsupporting

confidence: 58%

“…This low rate of intra-and perioperative complications of LAGB surgery in the outpatient setting is in line with those reported by several other groups, as shown in Table 6. In an early feasibility study conducted at a clinic in Belgium, De Waele and colleagues did not note any complications in their group of 10 patients during surgery or in the first 30 days post-surgery [18]. A subsequent study in the USA reported that 2.8% of 343 patients experienced complications [19], and a further study reported that 1.2% of 320 superobese patients (mean BMI 55.4 kg/m 2 ) experienced intra-or perioperative complications [7].…”

Section: Discussionmentioning

confidence: 95%

See 2 more Smart Citations

Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers

Cobourn¹,

Mumford²,

Chapman

et al. 2010

OBES SURG

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Section: Discussionsupporting

confidence: 65%

Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers

Cobourn¹,

Mumford²,

Chapman

et al. 2010

OBES SURG

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show abstract

“…Laparosopic adjustable gastric band placement is a safe and effective treatment option for weight loss [3,14]. As increasing numbers of this procedure are being performed, there is not only growing evidence for its use but also growing evidence that there are failures and complications which may require an alternative approach.…”

Section: Discussionmentioning

confidence: 99%

Safety and Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy as a Revisional Approach for Failed Laparoscopic Adjustable Gastric Banding in the Treatment of Morbid Obesity

et al. 2009

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Laparoscopic sleeve gastrectomy (LSG) has been used as a first step of a two-stage approach in bariatric surgery for high-risk patients. Recently, LSG is being utilized as a primary and final procedure for morbid obesity with acceptable short-term results. The aim of this study is to investigate the effectiveness of LSG as a revisional procedure for patients with unsatisfactory outcomes after laparoscopic adjustable gastric band (LAGB). A retrospective review of a prospectively maintained database was performed. Data were reviewed for all patients undergoing revision from LAGB to LSG during the period May 2005 and May 2009. Data collected included demographics, indication for revision, operative time, length of stay, postoperative complications, and degree of weight reduction. Fifteen patients (three males and 12 females) had revisional surgery converting a LAGB to a LSG. The indication in four patients (26.66%) was weight regains and in five patients (33.33%) was poor weight loss; four patients (26.66%) had a band slippage and symptoms of gastroesophageal reflux, and one patient (6.66%) had poor weight loss, band slippage, and reflux. In one patient (6.66%), the indication was slippage and duodenal fistula. One-step revision procedure was done in 13 patients (86.66%), while two-step procedure was done in two patients (13.33%). Mean preoperative weight and BMI were 233.02 (181.4-300) lb and 38.66 (29.7-49.3) kg/m2, respectively. Mean weight loss at 2, 6, 12, 18, and 24 months postoperatively was 20.7, 48.3, 57.2, 60.1, and 13.5 lb, respectively. Mean % excess BMI loss was 28.9%, 64.2%, 65.3%, 65.7%, and 22.25% at 2, 6, 12, 18, and 24 months, respectively. There was one major complication (staple line leak) and one postoperative acute gastric outlet obstruction. We had no mortality. Thirteen patients were followed up postoperatively. The number decreased as follow-up time progressed. LSG could provide short-term weight loss after previously failed LABG, but prone to more complications compared to an initial LSG without a prior bariatric procedure.

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“…After de Waele et al [5], who described a preliminary series of 10 patients undergoing laparoscopic banding in an ambulatory setting, and Kormanova et al [8], who discharged 20 patients within 23 h after surgery, Watkins et al [14] published their experience with gastric banding in a self-standing ambulatory surgery center in the United States. They treated 343 selected patients with a mean BMI of 44.5 and concluded that gastric banding was an appropriate outpatient procedure for selected patients in experienced hands.…”

Section: Discussionmentioning

confidence: 99%