Weight loss and improvement of obesity-related illness following laparoscopic adjustable gastric banding procedure for morbidly obese patients in Taiwan

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TMUIR > College of Medicine > Department of Medicine > Department of Surgery > Periodical Article > Item 987654321/13639

Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/13639

Title:	Weight loss and improvement of obesity-related illness following laparoscopic adjustable gastric banding procedure for morbidly obese patients in Taiwan
Authors:	魏柏立;黃銘德 Lee WJ;Wang W;Wei PL;Huaang MT;
Contributors:	醫學系外科學科
Date:	2006
Issue Date:	2009-10-28 12:27:35 (UTC+8)
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 stenos is 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.
Relation:	J Formos Med Assoc
Data Type:	article
Appears in Collections:	[Department of Surgery] Periodical Article

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