Obesity Surgery

, Volume 12, Issue 6, pp 846–850 | Cite as

Results of the Italian Multicenter Study on 239 Super-obese Patients Treated by Adjustable Gastric Banding

  • L Angrisani
  • F Furbetta
  • S B Doldi
  • N Basso
  • M Lucchese
  • M Giacomelli
  • M Zappa
  • L Di Cosmo
  • A Veneziani
  • G U Turicchia
  • M Alkilani
  • P Forestieri
  • G Lesti
  • F Puglisi
  • M Toppino
  • F Campanile
  • F D Capizzi
  • C D'Atri
  • L Scipioni
  • C Giardiello
  • N Di Lorenzo
  • S Lacitignola
  • M Belvederesi
  • B Marzano
  • P Bernante
  • A Iuppa
  • V Borrelli
  • M Lorenzo
Article

Background: Laparoscopic adjustable gastric banding (LAGB) is the most common bariatric operation. This study is a retrospective analysis of the multicenter Italian experience in patients with BMI >50 over the last 4 years. Methods: An electronic data sheet made for LAGBoperated patients since January 1996, was mailed and e-mailed to all surgeons involved in this kind of procedure in Italy. Items regarding patients with BMI >50 were selected. Analysis used Fisher's exact test and logarithmic regression analysis (P<0.05 significant). Data were expressed as mean ± SD. Results: 239 patients (13.3%), out of 1,797 LapBand® operated patients entered the study (179F / 60M), with mean age 37.6±11.3 years (19-69) and mean BMI 54.6±4.8 (50.1-83.6). Laparotomic conversion rate was 5.4% (44/239). Postoperative complications occurred in 24 / 239 patients (9.0%). Follow-up was obtained in 218 / 218, 198 / 198, 121 / 147, 75 / 93, 30 / 38 LAGB patients at 6, 12, 24, 36, and 48 months respectively. At these time periods, mean BMI was 46.7, 43.9, 42.2, 41.9, and 39.3 kg/m2. At the same intervals, mean %EWL was 24.1, 34.1, 38.8, 38.9, and 52.9%.The number of patients with <25% EWL at 12, 24, 36, and 48 months follow-up were 34, 10, 4, and 0. Serious co-morbidities (189 in 124 of 239, 57%) had completely resolved 1 year postoperatively in 74 / 124 of the patients (59.6%). Conclusion: Although super-obese patients following the LAGB remain obese with BMI >35, in the short-term most lose their co-morbidities, with a very low morbidity and mortality rate.

MORBID OBESITY BARIATRIC SURGERY LAPAROSCOPY GASTRIC BAND CO-MORBIDITY 

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Copyright information

© Springer 2002

Authors and Affiliations

  • L Angrisani
    • F Furbetta
      • S B Doldi
        • N Basso
          • M Lucchese
            • M Giacomelli
              • M Zappa
                • L Di Cosmo
                  • A Veneziani
                    • G U Turicchia
                      • M Alkilani
                        • P Forestieri
                          • G Lesti
                            • F Puglisi
                              • M Toppino
                                • F Campanile
                                  • F D Capizzi
                                    • C D'Atri
                                      • L Scipioni
                                        • C Giardiello
                                          • N Di Lorenzo
                                            • S Lacitignola
                                              • M Belvederesi
                                                • B Marzano
                                                  • P Bernante
                                                    • A Iuppa
                                                      • V Borrelli
                                                        • M Lorenzo

                                                          There are no affiliations available

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