Document Detail


The influence of a new timing strategy of band adjustment on the vomiting frequency and the food consumption of obese women operated with laparoscopic adjustable silicone gastric banding (LAP-BAND).
MedLine Citation:
PMID:  9730509     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effects of a new timing strategy of band adjustment on the short-term outcome of obese women operated with adjustable silicone gastric banding. SUBJECTS: The outcome of 30 women without binge-eating disorder operated with laparoscopic adjustable silicone gastric banding with a wider intraoperatory band calibration (LAP-BAND) was compared to that of 30 body mass index-matched women without binge-eating disorder previously operated with adjustable silicone gastric banding (ASGB) applied by laparotomy with the usual intraoperatory band calibration. The patients were evaluated 3, 6 and 12 months after surgery. MEASUREMENTS: (1) weight loss; (2) total daily energy intake; (3) percent as liquid, soft or solid food; (4) vomiting frequency; (5) rate of postoperative percutaneous band adjustments; (6) rate of band-related complications. RESULTS: Both the weight loss and the daily energy intake did not differ between patients with LAP-BAND and patients with ASGB. After surgery, the patients with LAP-BAND ate more solid food and less liquid food than the patients with ASGB. Vomiting frequency was higher in patients with ASGB than in patients with LAP-BAND. The total number of percutaneous band adjustments was higher in women with LAP-BAND than in women with ASGB. Band inflation because of weight stabilization was performed in six (20.0%) women with ASGB and in 19 (63.3%) women with LAP-BAND. Neostoma stenosis occurred in one woman with ASGB, but in none of the women with LAP-BAND. One patient with LAP-BAND presented band slippage. CONCLUSIONS: The wider intraoperatory band calibration performed in patients with LAP-BAND did not reduce the short-term efficacy of adjustable silicone gastric banding. This new timing strategy of band adjustment required more postoperative percutaneous band inflations, but it improved the eating pattern of the patients (low vomiting frequency and high intake of solid food).
Authors:
L Busetto; C Pisent; G Segato; F De Marchi; F Favretti; M Lise; G Enzi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  7     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-09-24     Completed Date:  1998-09-24     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  505-12     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Padova, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Body Weight
Calibration
Case-Control Studies
Constriction, Pathologic / etiology
Eating / physiology*
Energy Intake
Female
Follow-Up Studies
Food
Gastroplasty / adverse effects,  instrumentation,  methods*
Humans
Intraoperative Care
Laparoscopy* / methods
Laparotomy
Obesity / surgery*
Silicones
Surgical Stomas / adverse effects
Time Factors
Treatment Outcome
Vomiting / prevention & control*
Weight Loss
Chemical
Reg. No./Substance:
0/Silicones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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