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Adjustable Gastric Banding

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Paul E Obrien – One of the best experts on this subject based on the ideXlab platform.

John Dixon – One of the best experts on this subject based on the ideXlab platform.

Reinhard Mittermair – One of the best experts on this subject based on the ideXlab platform.

  • Long-term follow-up evaluation of revisional Gastric bypass after failed Adjustable Gastric Banding
    Surgical Endoscopy, 2013
    Co-Authors: Alexander Perathoner, Matthias Zitt, Monika Lanthaler, Johann Pratschke, Matthias Biebl, Reinhard Mittermair
    Abstract:

    Background Disappointing long-term results, frequent band failure, and high rates of band-related complications increasingly necessitate revisional surgery after Adjustable Gastric Banding. Laparoscopic conversion to Gastric bypass has been recommended as the procedure of choice. This single-center retrospective study aimed to evaluate the long-term results of revisional Gastric bypass after failed Adjustable Gastric Banding. Methods The study included 108 consecutive patients who underwent laparoscopic conversion of Gastric Banding to Gastric bypass from 2002 to 2012. Indications for surgery, operative data, weight development, morbidity, and mortality were analyzed. The median follow-up period was 3.4 years (maximum, 10 years). Results The most common indications for band removal were band migration, insufficient weight loss, and pouch dilation. The median interval between Gastric Banding and Gastric bypass was 6.6 years. In 52 % of the cases, band removal and Gastric bypass surgery were performed simultaneously as a single-stage laparoscopic procedure. The early postoperative morbidity rate was 10.2 %. The body mass index before Gastric Banding (43.3 kg/m^2) decreased significantly to 37.9 kg/m^2 before Gastric bypass and to 28.8 kg/m^2 5 years after Gastric bypass. Conclusions This is the first report on the long-term outcome after conversion of failed Adjustable Gastric Banding to Gastric bypass. Findings have shown revisional Gastric bypass to be a feasible bariatric procedure particularly for patients with insufficient weight loss that guarantees a constant and long-lasting weight loss.

  • Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
    Obesity Surgery, 2009
    Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund Margreiter
    Abstract:

    Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures. Methods Between January 1996 and January 2006, 785 consecutive patients (81% women, 19% men) underwent laparoscopic SAGB. All data (demographic and morphologic, operative, and annual follow-up data) were prospectively collected in a computerized data bank. The postoperative follow-up program was performed largely by residents while 30 different surgeons performed the operation. Results Follow up data were available for 733 patients (98.3%); 52 patients (6.6%) were lost to follow-up. The median follow-up was 3.0 years (range, 1–10 years). The median total weight loss was 26 kg after 1 year and 40.5 kg after 8 years with a median EWL of 65.5% after 8 years. The median BMI decreased from 42.9 to 28.3 kg/m^2. A total number of 688 complications occurred in 396 patients (50.4%). The most common complications were esophagitis (28.8%), pouch dilation (15.3%), esophageal dilation (12.5%), port problems (11%), band migration (6.5%), and band leakage (6.4%). Overall, 251 reoperations (32%) were performed. There was no mortality. Conclusions From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for Gastric Banding.

  • results and complications after swedish Adjustable Gastric Banding 10 years experience
    Obesity Surgery, 2009
    Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund Margreiter
    Abstract:

    Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.

Franz Aigner – One of the best experts on this subject based on the ideXlab platform.

  • Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
    Obesity Surgery, 2009
    Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund Margreiter
    Abstract:

    Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures. Methods Between January 1996 and January 2006, 785 consecutive patients (81% women, 19% men) underwent laparoscopic SAGB. All data (demographic and morphologic, operative, and annual follow-up data) were prospectively collected in a computerized data bank. The postoperative follow-up program was performed largely by residents while 30 different surgeons performed the operation. Results Follow up data were available for 733 patients (98.3%); 52 patients (6.6%) were lost to follow-up. The median follow-up was 3.0 years (range, 1–10 years). The median total weight loss was 26 kg after 1 year and 40.5 kg after 8 years with a median EWL of 65.5% after 8 years. The median BMI decreased from 42.9 to 28.3 kg/m^2. A total number of 688 complications occurred in 396 patients (50.4%). The most common complications were esophagitis (28.8%), pouch dilation (15.3%), esophageal dilation (12.5%), port problems (11%), band migration (6.5%), and band leakage (6.4%). Overall, 251 reoperations (32%) were performed. There was no mortality. Conclusions From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for Gastric Banding.

  • results and complications after swedish Adjustable Gastric Banding 10 years experience
    Obesity Surgery, 2009
    Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund Margreiter
    Abstract:

    Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.

  • Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
    Obesity surgery, 2009
    Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund Margreiter
    Abstract:

    Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.

Theodor Junginger – One of the best experts on this subject based on the ideXlab platform.

  • Early results with a new telemetrically Adjustable Gastric Banding.
    Obesity surgery, 2007
    Co-Authors: Rudolf A. Weiner, Michael Korenkov, Esther Matzig, Sylvia Weiner, Woiteck K. Karcz, Theodor Junginger
    Abstract:

    It has already been demonstrated that laparoscopic Adjustable Gastric Banding (LAGB) is a safe and effective alternative to other permanent bariatric surgery techniques. Although clinical complications have been managed through improvements in surgical techniques, port-related complications and adjustment process inefficiencies have persisted. To reduce and manage these issues, a new type of Gastric band has been developed which uses telemetric technology to eliminate the use of hydraulic ports and simplify the overall Gastric band adjustment procedure. From June 2005 to October 2005, 37 patients were implanted in two German academic centers with the Easyband® telemetrically Adjustable Gastric band (Endoart S.A., Lausanne, Switzerland), using standard Gastric Banding laparoscopic technique. Prospective data was collected and analyzed for a minimum of 6 months on all morbidly obese patients who underwent laparoscopic telemetrically Adjustable Gastric Banding. Data on 37 patients was analyzed.The mean percent excess weight loss was 10.2% at 1 month, 21.6% at 3 months, and 29.4% at 6 months. In 12 hypertensive patients, the systolic blood pressure decreased from 143 ± 24 mmHg at baseline to 131 ± 10 mmHg after 6 months. Diastolic pressure did not change significantly. In all 5 patients with diagnosed type 2 diabetes, the fasting blood glucose normalized after 6 months (135 mg/dl at baseline, 81 mg/dl at month 6). These early results of the new telemetrically Adjustable Gastric Banding device indicate clinical safety and efficacy comparable to that achieved by other commercially available Gastric bands. Additional multi-center studies with long-term followup are recommended to confirm the benefits of telemetrically Adjustable Gastric Banding.

  • Early Results with a New Telemetrically Adjustable Gastric Banding
    Obesity Surgery, 2007
    Co-Authors: Rudolf A. Weiner, Michael Korenkov, Esther Matzig, Sylvia Weiner, Woiteck K. Karcz, Theodor Junginger
    Abstract:

    Background It has already been demonstrated that laparoscopic Adjustable Gastric Banding (LAGB) is a safe and effective alternative to other permanent bariatric surgery techniques. Although clinical complications have been managed through improvements in surgical techniques, port-related complications and adjustment process inefficiencies have persisted. To reduce and manage these issues, a new type of Gastric band has been developed which uses telemetric technology to eliminate the use of hydraulic ports and simplify the overall Gastric band adjustment procedure. Methods From June 2005 to October 2005, 37 patients were implanted in two German academic centers with the Easyband® telemetrically Adjustable Gastric band (Endoart S.A., Lausanne, Switzerland), using standard Gastric Banding laparoscopic technique. Prospective data was collected and analyzed for a minimum of 6 months on all morbidly obese patients who underwent laparoscopic telemetrically Adjustable Gastric Banding. Results Data on 37 patients was analyzed.The mean percent excess weight loss was 10.2% at 1 month, 21.6% at 3 months, and 29.4% at 6 months. In 12 hypertensive patients, the systolic blood pressure decreased from 143 ± 24 mmHg at baseline to 131 ± 10 mmHg after 6 months. Diastolic pressure did not change significantly. In all 5 patients with diagnosed type 2 diabetes, the fasting blood glucose normalized after 6 months (135 mg/dl at baseline, 81 mg/dl at month 6). Conclusion These early results of the new telemetrically Adjustable Gastric Banding device indicate clinical safety and efficacy comparable to that achieved by other commercially available Gastric bands. Additional multi-center studies with long-term followup are recommended to confirm the benefits of telemetrically Adjustable Gastric Banding.