Weight Loss and Improvement of Comorbidities after Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Ohta, Masayuki; Kitano, Seigo; Kai, Seiichiro; Endo, Yuichi; Eguchi, Hidetoshi; Okunaga, Ryoki; Uchida, Hajime; Iwaki, Kentaro; Shibata, Kohei

doi:10.5833/jjgs.41.599

Cited by 2 publications

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“…However, the number of morbidly obese patients who are resistant to medical treatment is increasing in Japan. As a result, endoscopic and laparoscopic bariatric surgical procedures have recently been introduced into Japan (6–9). However, Japanese health insurance still does not cover any laparoscopic bariatric procedures.…”

Section: Introductionmentioning

confidence: 99%

Results of a national survey on laparoscopic bariatric surgery in Japan, 2000-2009

Ohta

Kitano

Kasama

et al. 2011

Asian Journal of Endoscopic Surgery

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Section: Introductionmentioning

confidence: 99%

Results of a national survey on laparoscopic bariatric surgery in Japan, 2000-2009

Ohta

Kitano

Kasama

et al. 2011

Asian Journal of Endoscopic Surgery

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“…The inclusion criteria for LSG were morbid obesity (BMI≥35 kg/m 2 ), the presence of obesity‐related disorders, and failure with regimens of diet, physical activity, and behavior therapy for at least 6 months. As we performed LAGB as the first choice of bariatric surgeries in patients with morbid obesity, the criteria also included contraindications for LAGB such as collagen diseases and chronic steroid intake or super‐obesity (BMI≥50 kg/m 2 ) (11).…”

Section: Methodsmentioning

confidence: 99%

“…Currently, Japanese health insurance provided by the government has only approved one conventional operation – gastroplasty – and not laparoscopic bariatric surgery. As the number of morbidly obese patients who are refractory to medical treatments has increased in Japan, some endoscopic and laparoscopic bariatric surgical procedures have recently been introduced into the country (10–13). Though Tagaya et al were the first to perform LSG in Japan (14), we started LSG in patients with contraindications for LAGB and super‐obesity at nearly the same time.…”

Section: Introductionmentioning

confidence: 99%

Initial experience in laparoscopic sleeve gastrectomy for Japanese morbid obesity

Ohta

Kai

Iwashita

et al. 2009

Asian J Endoscop Surgery

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Introduction:We evaluated the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in Japanese patients with morbid obesity. Materials and Methods: Between June 2006 and March 2009, seven morbidly obese Japanese patients (four women, three men; mean age 36 AE 12 years; mean body mass index (BMI) 51 AE 3 kg/m 2 ) underwent LSG at our institute. The inclusion criteria were morbid obesity (BMI 4 35 kg/m 2 ), the presence of obesity-related disorders, and failure to lose weight while using other medical therapies for at least 6 months. The criteria also included contraindications for laparoscopic adjustable gastric banding or super-obesity (BMI 4 50 kg/m 2 ). LSG was carried out using endoscopic linear staplers from the greater curvature of the antrum 6-7 cm proximal to the pyloric ring to the angle of His alongside a 32-Fr endoscope or a 45-Fr overtube of the endoscope. Results: In all of the patients, LSG was successfully performed without open conversion. There were no serious postoperative complications and there was no mortality. The mean weight loss and percent excess weight loss after LSG were 33 AE 8 kg and 47 AE 16% at 6 months, and then 44 AE 16 kg and 63 AE 30% at 12 months. Due to the weight loss, the resolution and improvement rates of comorbidities in the five patients followed up for 43 months were 100% and 100% in type 2 diabetes, 67% and 100% in hypertension, 60% and 100% in dyslipidemia, and 100% and 100% in metabolic syndrome. Discussion: Although further long-term studies are necessary with regard to weight maintenance, LSG is a feasible and safe treatment for Japanese patients with morbid obesity.

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Weight Loss and Improvement of Comorbidities after Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Cited by 2 publications

References 0 publications

Results of a national survey on laparoscopic bariatric surgery in Japan, 2000-2009

Results of a national survey on laparoscopic bariatric surgery in Japan, 2000-2009

Initial experience in laparoscopic sleeve gastrectomy for Japanese morbid obesity

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