Outcome and Complications after Laparoscopic Swedish Adjustable Gastric Banding: 5-Year Results of a Prospective Clinical Trial
| العنوان: | Outcome and Complications after Laparoscopic Swedish Adjustable Gastric Banding: 5-Year Results of a Prospective Clinical Trial |
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| المؤلفون: | Ursula Naef, H.E. Wagner, Wolfgang G. Mouton, M. Naef |
| المصدر: | Obesity Surgery. 17:195-201 |
| بيانات النشر: | Springer Science and Business Media LLC, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Adult, Male, Reoperation, medicine.medical_specialty, Time Factors, Gastroplasty, Gastric banding, Endocrinology, Diabetes and Metabolism, Gastric bypass, Body Mass Index, Morbid obesity, Weight loss, Weight Loss, medicine, Humans, Effective treatment, Prospective Studies, Laparoscopy, Aged, Nutrition and Dietetics, medicine.diagnostic_test, business.industry, Mean age, Middle Aged, Obesity, Morbid, Surgery, Clinical trial, Treatment Outcome, Female, medicine.symptom, business, Follow-Up Studies |
| الوصف: | Bariatric surgery is currently the only effective treatment for morbid obesity in terms of inducing and maintaining satisfactory weight loss and decreasing weight-related co-morbidities. A study was conducted to assess the effects, complications and outcome after laparoscopic Swedish adjustable gastric banding (SAGB) to 5 years.Between June 1998 and December 2005, all patients with implantation of a SAGB were enrolled in a prospective clinical trial. Results were recorded and classified, with special regard to long-term complications and re-operation rate.SAGB was performed in 128 patients (87 female, 41 male). Mean age was 40.2 +/- 5.3 years, with mean preoperative BMI 44.5 +/- 3.9 kg/m2. Overall mortality was 0%. Patient follow-up was 94.5%. BMI after 1, 2 and 5 years was 35.7 +/- 3.7 kg/m2 (P0.005), 33.7 +/- 3.8 kg/m2 (P0.001) and 31.8 +/- 3.8 kg/m2 (P0.001), respectively. Mean EWL after 1, 2 and 5 years was 33.3 +/- 6.8% (P0.005), 45.5 +/- 6.4% (P0.001) and 57.4 +/- 6.5% (P0.001), respectively. The nonresponder rate (EWL30%) after 2 and 5 years was 17.0% and 6.8%, respectively. The early complication rate (30 d) was 6.25% (8/128), with 5 minor and 3 major complications. Late complications (30 d) occurred in 10.9% (14/128), of whom 2 were minor and 12 were major complications. The overall re-operation rate was 11.7% (15/128).At 5-year follow-up, laparoscopic SAGB is a safe and effective surgical treatment for morbid obesity. Our results appear to confirm that SAGB is a safer surgical treatment regarding rate and severity of complications compared with gastric bypass and malabsorptive procedures. |
| تدمد: | 1708-0428 0960-8923 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9b3217bd5143fd80f9c6ac8923b73506 https://doi.org/10.1007/s11695-007-9034-1 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....9b3217bd5143fd80f9c6ac8923b73506 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17080428 09608923 |
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