Adjustable Gastric Banding

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Experience and Results

1623 procedures were performed by our team between October 1992 and December 2002.

Mean operative time in our series was 60 minutes. Mean Hospital stay was 2 days.

Early postoperative complications were: 2 gastric perforations on postoperative day 1 caused by traumatic placement of a nasogastric tube (1 treated by closure of the perforation at laparotomy and 1 treated by laparoscopy); 1 aspiration pneumonia treated medically; and 1 slipping of the band because of poor fixation. There were no complications of wound healing, and pulmonary embolism or deep vein thrombosis did not occur.

Late complications were mainly gastric erosion (5%) and pouch dilation (8%).

There was one mortality. A patient with a Pradder-Willy syndrome, in whom Mallory Weiss bleeding was treated endoscopically, resulted in esophageal perforation and mediastinitis. The Mallory Weiss syndrome was caused by hyperdilatation of the gastric pouch in a boulimic binge.
Loss of excess body weight was 28 % at 6 months, 38 % at 12 months and 62 % at 2 years.

Loss of excess weight depending on time

Loss of excess weight depending on time

BMI Loss

Index Of Satisfaction

  TOTAL REDO - REDO +
VERY SATISFIED 46% 36% 11%
SATISFIED 36% 27% 8%
GOOD 10% 8% 3%
UNSATISFIED 5% 1% 4%
VERY INSATISFIED 3% 1% 2%