- 作者：Jes煤s Lago Oliver ; Sara V谩zquez Amigo ; Juana S谩nchez Garc铆a ; Gabriel Pedraza Toledo ; Enrique Mercader Cidoncha ; Mercedes Sanz S谩nchez ; Fern ; o Tur茅gano Fuentes
- 关键词：Banda gá ; strica laparoscó ; pica ; Lap band ; Resultados banda gá ; strica
- 刊名：Cirug篓陋a Espa?ola (English Edition)
- 出版年：May, 2013
- 年：2013
- 卷：91
- 期：5
- 页码：301-307
- 全文大小：728 K
Introduction
Adjustable gastric banding is a surgical technique used all over the world for the treatment of morbid obesity. In Spain, the number of patients treated with adjustable gastric banding is far lower than the average worldwide average. A number of reasons have been put forward to explain this difference.Materials and methods
A program of bariatric surgery by means of implantation of an adjustable gastric banding was started in 2001, together with a dedicated follow-up protocol in order to prevent complications and improve results.
Results
A total of 132 patients were operated on between 2001 and 2011. The mean age of the 102 female and 30 male patients was 39 years, and the mean body mass index was 43. Follow-up was longer than 5 years in 61 patients, while the mean follow-up in the rest was 44.4 months. There was no mortality or severe morbidity. Eight patients (6.06%) underwent reoperation, 3 of them for complications related to the reservoir, 4 for slipping of the band, and one for erosion. One slipped band was removed, and a new one (of the Lap Band type) was inserted. Three slipping bands were converted to other techniques. The percentage excessive body weight loss was maintained in 54.8% of the patients followed-up for longer than 5 years.
Conclusions
The results of our series are comparable to those reported in the literature and show that, provided that a close follow-up, like that performed by most groups, is implemented, adjustable gastric banding can also be a safe and effective bariatric surgery technique in our country.