Laparoscopic adjustable gastric banding in a multidisciplinary modality for morbid obesity
10.3760/cma.j.issn.1674-6090.2013.06.011
- VernacularTitle:多科协作模式下腹腔镜可调节胃束带术治疗病态肥胖症临床分析
- Author:
Xin YE
;
Jianchun YU
;
Weiming KANG
;
Zhiqiang MA
- Publication Type:Journal Article
- Keywords:
Obesity;
Laparoscopic adjustable gastric banding;
Multidisciplinary modality
- From:
Journal of Endocrine Surgery
2013;7(6):483-486,508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the multidisciplinary modality for obesity treatment and evaluate the safety and long-term efficacy of laparoscopic adjustable gastric banding(LAGB) on weight loss and obesity related metabolic diseases in obesity patients.Methods The clinical and follow-up data of 28 consecutive morbid obesity patients receiving LAGB in Dept.General Surgery of PUMC hospital in a multidisciplinary modality from Oct 2009 to May 2012 were retrospectively analyzed.The strategy of perioperative and follow-up management was summarized and the safety and long-term efficacy of LAGB on weight loss and comorbidity were evaluated.Results Mean body weight of the subjects was 129.1kg and mean body mass index(BMI)44.9 kg/m2.All patients underwent LAGB successfully without perioperative mortality.Early postoperative complications included 1 case (3.6%) of pulmonary infection and long-term complications included 2 cases (7.1%)of port infection.Mean body weight and BMI decreased gradually after LAGB.The mean percentage of excess weight loss(% EWL)at postoperative 24 months was 41.3%.% EWL of the group with regular follow-up and good compliance was significantly better than the other group.Complete or partial remission was observed in obesity related metabolic diseases at the last follow-up.Conclusions LAGB is safe and has good long-term efficacy on weight loss and comorbidity improvement of obesity patients.Better services can be provided for obesity patients in a multidisciplinary modality,It is important for the patients to follow up regularly after surgery in order to maintain long-term weight loss.