Advertisement

Laparoscopic Adjustable Gastric Banding: Controversies

  • Mohammad K. Jamal
  • Eric J. DeMaria
  • Ricardo Cohen

Abstract

Laparoscopic adjustable gastric banding (LAGB) has been proposed as a treatment of choice for morbid obesity by many bariatric surgeons around the world. It has been the most commonly performed bariatric procedure in Australia and Europe since the early 1990s (1). After its approval in 2001 in the United States by the Food and Drug Administration (FDA), the use of the Lap-Band has increased and has provided patients with an alternative treatment to the Roux-en-Y gastric bypass (RYGBP). The LAGB is a purely restrictive procedure like the vertical banded gastroplasty (VBG), thereby excluding any bowel anastomosis, staple line complications, or risk of leaks. As evident from the long-term follow-up of purely restrictive procedures like VBG, excess weight loss and consequent cure of comorbidities may be modest when compared to other procedures such as the RYGBP or combined restrictive and malabsorptive procedures. Furthermore, minimal long-term weight loss benefits of VBG have suggested that this procedure is not durable.

Keywords

Gastric Bypass Morbid Obesity Gastric Banding Laparoscopic Adjustable Gastric Banding Excess Weight Loss 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Martikainen T, Pirinen E, Alhava E, et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg 2004;14:648–654.CrossRefPubMedGoogle Scholar
  2. 2.
    Kothari S, DeMaria E, Sugerman H, Kellum J. Lap-Band failures: Conversion to gastric bypass and their preliminary outcomes. Surgery 2002;131:625–629.CrossRefPubMedGoogle Scholar
  3. 3.
    DeMaria E, Sugerman H, Meador J, et al. High failure rate after laparoscopic adjustable gastric banding for treatment of morbid obesity. Ann Surg 2001;233:809–818.PubMedCentralCrossRefPubMedGoogle Scholar
  4. 4.
    Angrissani L, Furbetta F, Doldi B, et al. Lap Band adjustable gastric banding system: the Italian experience with 1863 patients operated on 6 years. Surg Endosc 2003; 17:409–412.CrossRefGoogle Scholar
  5. 5.
    Ren C. J. Controversies in bariatric surgery: Evidencebased discussions on laparoscopic adjustable gastric banding. J Gastrointest Surg 2004;8:396–397.CrossRefPubMedGoogle Scholar
  6. 6.
    Belachew M, Legrand M, Vincent V, et al. Laparoscopic adjustable gastric banding. World J Surg 1998;22:955–963.CrossRefPubMedGoogle Scholar
  7. 7.
    Weiner R, Wagner D, Bockhorn H. Laparoscopic gastric banding for morbid obesity. J Laparoendosc Adv Surg Tech 1999;9:23–30.CrossRefGoogle Scholar
  8. 8.
    Suter M. Laparoscopic band repositioning for pouch dilatation/slippage after gastric banding: disappointing results. Obes Surg 2001;11:507–512.CrossRefPubMedGoogle Scholar
  9. 9.
    O’Brien PE, Brown WA, Smith A, et al. Prospective study of a laparoscopically-placed adjustable gastric band in the treatment of morbid obesity. Br J Surg 1999;86:113–118.CrossRefPubMedGoogle Scholar
  10. 10.
    Dargent J. Laparoscopic adjustable gastric banding: lessons from the first 500 patients in a single institution. Obes Surg 1999;9:446–452.CrossRefPubMedGoogle Scholar
  11. 11.
    Favretti F, Cadiere GB, Segato G, et al. Laparoscopic adjustable silicon gastric banding (Lap-Band®): How to avoid complications. Obes Surg 1997;7:352–358.CrossRefPubMedGoogle Scholar
  12. 12.
    Chevallier JM, Zinzindohoué F, Douard R. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1,000 patients over 7 years. Obes Surg 2004;14:407–414.CrossRefPubMedGoogle Scholar
  13. 13.
    Favretti, F, Cadiere, GB, Segato, G, et al. Laparoscopic banding: Selection and techniques in 830 patients. Obes Surg 2002;12:385–390.CrossRefPubMedGoogle Scholar
  14. 14.
    Overbo KK, Hatlebakk JG, Viste A, et al. Gastroesophageal reflux in morbidly obese patients treated with gastric banding and vertical banded gastroplasty. Ann Surg 1999; 228:51–58.CrossRefGoogle Scholar
  15. 15.
    Doherty C, Maher JW, Heitshusen DS. Prospective investigation of complications, re-operations and sustained weight loss with an adjustable gastric banding device for treatment of morbid obesity. J Gastrointest Surg 1998;2:102–108.CrossRefPubMedGoogle Scholar
  16. 16.
    Frezza EE, Ikramuddin S, Gourash W, et al. Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass. Surg Endosc 2002;16(7):1027–1031.CrossRefPubMedGoogle Scholar
  17. 17.
    Miller K, Hell E. Laparoscopic adjustable gastric banding: a prospective 4-year follow-up study. Obes Surg 1999;9: 183–187.CrossRefPubMedGoogle Scholar
  18. 18.
    Suter M, Giusti V, Heraief E, et al. Early results of laparoscopic gastric banding compared with open vertical banded gastroplasty. Obes Surg 1999;9:374–380.CrossRefPubMedGoogle Scholar
  19. 19.
    Belachew M, Legrand M, Vincent V, et al. L’approche coelioscopique dans le traitement de la chirurgie de l’obesite morbide. Technique et resultants. Ann Chir 1997;51: 165–172.PubMedGoogle Scholar
  20. 20.
    Suter M, Bettschart V, Giusti V, et al. A three-year experience with gastric banding. Surg Endosc 2000;14:532–536.CrossRefPubMedGoogle Scholar
  21. 21.
    Berrevoet F, Pattyn P, Cardon A, et al. Retrospective analysis of laparoscopic gastric banding technique: short-term and mid-term follow-up. Obes Surg 1999;9:272–275.CrossRefPubMedGoogle Scholar
  22. 22.
    Chelala E, Cadiere GB, Favretti F, et al. Conversions and complication in 185 laparoscopic adjustable silicon gastric banding cases. Surg Endosc 1997;11:268–271.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Mohammad K. Jamal
    • 1
  • Eric J. DeMaria
    • 2
  • Ricardo Cohen
    • 3
  1. 1.Department of SurgeryUniversity of Iowa Carver College of MedicineIowa CityUSA
  2. 2.Department of SurgeryDuke University Medical CenterDurhamUSA
  3. 3.Center for the Surgical Treatment of Morbid ObesityHospital Sao PauloSao PauloBrazil

Personalised recommendations