Weight Loss and Improvement of Comorbidities after Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Masayuki Ohta, Seigo Kitano, Seiichiro Kai, Yuichi Endo, Hidetoshi Eguchi, Ryoki Okunaga, Hiroki Uchida, Kentaro Iwaki and Kohei Shibata

Department of Surgery I, Oita University Faculty of Medicine

Background: We introduced laparoscopic adjustable gastric banding (LAGB) to Japan. Methods: Between August 2005 and August 2007, 21 morbidly obese patients with 44±10 kg/m² (mean±S.D.) BMI underwent LAGB. LAGB using the pars flaccida technique with 3-5 gastric-to-gastric sutures did to prevent band slippage. Results: No conversion to open surgery or post-LAGB complications were seen. Weight loss 12 months after surgery was 25±11 kg and the percentage of excess weight loss was 41±7%. After 18 months, there were 29±13 kg and 49±11%. Weight loss led to lower hypertension in 91% of patients, lower dyslipidemia in 94%, and improved type 2 diabetes in 100%. Conclusions: LAGB is safe and effective, and is expected to play an important role in the treatment of morbid obesity in Japan.

Key words
obesity, morbid obesity, bariatric surgery, laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass

Reprint requests
Masayuki Ohta Department of Surgery I, Oita University Faculty of Medicine
1-1 Idaigaoka, Hasama-machi, Yufu, 879-5593 JAPAN

Accepted
November 28, 2007

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