Weight loss and improvement of
obesity-related illness following laparoscopic
adjustable gastric banding procedure for
morbidly obese patients in Taiwan
魏柏立;黃銘德
Lee WJ;Wang W;Wei PL;Huaang MT;
摘要
Abstract
Background/Purpose
Laparoscopic adjustable gastric banding (LAGB) is a newly developed minimally invasive surgical procedure for the treatment of morbid obesity. This study was conducted to evaluate body weight loss, surgical complications, and
comorbidities after LAGB surgery. Methods
Ninety-one morbidly obese patients (mean age, 31.2 years; mean preoperative weight, 120.8 kg) underwent LAGB in a private Taiwan hospital setting within a comprehensive multidisciplinary bariatric program. Patients were followed up to 36 months. Comorbidities were assessed in 55 patients who completed more than 12 months of follow-up by comparing each comorbid condition before surgery and during follow-up.
Results
All procedures were performed laparoscopically with no conversion. Mean operation time was 88.7 ±32.9 minutes. There were no intraoperative or major postoperative complications. Minor complication of stoma stenosis occurred in three (3.3%) patients. At 36 months after surgery, mean body mass index had decreased from 42.7 to 33.9 kg/m2, and mean percentage of excess weight loss was 44.8%. Late complications were as follows: intractable vomiting requiring band removal in one (1.1%) patient, tubing problems requiring revision surgery in four (4.3%), and stoma obstruction in two (2.1%). There was no mortality. Resolution or improvement of comorbidities was significant for hyperglycemia
and diabetes-related index, dyslipidemia, abnormal liver function, hyperuricemia, sleep apnea, and arthralgia, but not for hypertension. Conclusion
LAGB provides good weight loss and significant reduction in comorbidities with few minor complications
