Laparoscopic adjustable gastric banded plication скачать в хорошем качестве

Laparoscopic adjustable gastric banded plication

Laparoscopic adjustable gastric banding has a high safety profile, but also a high rate of re-operation has been reported (Schouten, Wiryasaputra, van Dielen et al. Obes Surg 20(12):1617–26, 2010). We introduced laparoscopic adjustable gastric banded plication (LAGBP) in 2009 (Huang, Lo, Shabbir et al. Surg Obes Relat Dis 8(1):41–5, 2012) Our case matched comparative study with LSG, LAGBP showed similar results at 2 years in terms of weight loss, comorbidity resolution, and complications. (Huang, Chhabra, Goel et al. Obes Surg 23(8):1319– 23, 2013). Several authors have reported variations in their technique, bougie size, and suture material used to perform plication. (Ramos, Galvao Neto, Galvao et al. Obes Surg 20(7):913–8, 2010, (Mui, Lee, Lam et al. Obes Surg 23(2): 179–83, 2013, Brethauer, Harris, Kroh et al. Surg Obes Relat Dis 7(1):15–22, 2011) Two hundred two (69 male, 133 female) patients in over the last 4 years underwent LAGBP in our center. Follow-up at 1 year was 168 patients, and 56 patients reached 4- year follow-up. Age was 16–60 years (mean=31.1). Mean BMI was 39.5±3.18 and body weight 110 kg± 19.4. Mean operative time was 104 min±39 and length of hospital stay after surgery 2.1±2.3 days. No mortality was recorded. Excess weight loss at 1 year was 57.84 % and at four years 68 %.(Huang et al, Obes Surg 2015; 25:1756–1757 ) LAGBP has been proven to be an effective bariatric procedure in the midterm results and could be chosen an alternative choice for patients not willing to receive Gastrointestinal cutting procedures.