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A 5-Year Experience of Laparoscopic Adjustable Gastric Banding in China.
MedLine Citation:
PMID:  23054573     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) has been our operation of choice for morbid obesity since 2003. The aim of this study was to review 5 years of LAGB procedures at a single institution in China. METHODS: All patients who underwent LAGB at our institution from June 2003 to November 2009 were analyzed retrospectively. A telephone survey of patients was conducted in 2010. RESULTS: This study included 188 Chinese patients, of which 69.7 % were female and 8 (4.3 %) were super-obese (body mass index (BMI) >50 kg/m(2)). The mean age of patients was 27.2 ± 9.1 years (range, 14-55 years), mean weight was 106.8 ± 24.7 kg (range, 67-230 kg), and mean BMI was 37.5 ± 6.2 kg/m(2) (range, 26.1-61.7 kg/m(2)). The mortality rate was 0 %. Six bands were removed (four for slippage). One operation was converted to an open procedure. Ninety-eight patients were surveyed by telephone. The mean weight loss was 17.6 ± 12.5 kg, and the mean follow-up time was 23.6 months. Percentage excess weight loss (%EWL) at 3 months, 6 months, 1 year, and 2 years was 27.8 ± 16.4, 39.0 ± 23.1, 44.1 ± 27.3, and 43.1 ± 28.4 %, respectively. The nonresponder rate (%EWL <30 %) at 2 years was 33.3 % (20/60). Weight regain of more than 10 kg from nadir was observed in 10 of the 98 patients (10.2 %). CONCLUSIONS: LAGB is a relatively safe procedure with few major complications. However, a minority of morbidly obese patients did not benefit sufficiently from their surgery.
Authors:
Qiaojun Han; Yue Chen; Jianbing Zhuge; Zhaolong Zhang; Dajin Zou
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-9
Journal Detail:
Title:  Obesity surgery     Volume:  -     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Endocrinology, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.
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