Laparoskopisk justerbar gastrisk banding til behandling af sygelig overvaegt. Seks års erfaringer
Engelsk titel: Laparoscopic adjustable gastric banding for the treatment of morbid obesity. Six years' experiences
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Författare:
Fromholt Larsen J
;
Kroustrup JP
Email: jfl@dadlnet.dk
Språk: Dan
Antal referenser: 11
Dokumenttyp:
Artikel
UI-nummer: 05051691
Sammanfattning
Introduction: In 1996, laparoscopic adjustable gastric banding was introduced for the treatment of morbid obesity. The aim of this study was to report the long-term results of this method. Materials and method: From 1996 to 2004, a total of 118 patients, 43 men and 75 women, mean age 41 ± 10 years (range: 22-66 years) underwent surgery with the Lap-band. Follow-up was performed at regular intervals, and in September 2004 a survey was conducted by questionnaire about the patients' overall satisfaction with the operation. Results: The mean follow-up period was 30 23 months (range: 6-98 months). The preoperative body mass index (BMI) was BMI 51 ± 6 kg/m2 (range: 40-67 kg/m2 ). The mean ± sd BMI during the following five years was 42 ± 7, 41 ± 7, 42 ± 8, 41 ± 6 and 41 ± 6, respectively. The mean excess weight loss over extended follow-up was 37 ± 17%. The postoperative day of discharge was 1.4 ± 1.0 day (range: 1-8 days). The rate of band removal was 7%, and the rate of revision of the capsular was 11%. The patients' expectations for the operation, rated on a visual analogue scale, was mean 6.4 ± 3.0 (complete = 10, none = 0). Five percent of the patients expressed regret at having undergone the operation. Discussion: LAGB is a safe procedure that produces acceptable long-term weight loss. However, two thirds of the patients develop food intolerance, which may result in the failure of maintenance of weight loss. Some patients are not able to change their lifestyle, and these patients may be referred to other surgical procedures, e.g., laparoscopic gastric bypass or duodenal switch, or possibly denied surgery.