Abstract
The introduction of laparoscopic adjustable gastric banding (LAGB) in 1993 transformed the management of chronic obesity. Over 20 years of clinical experience with this day-case surgical procedure has demonstrated that it is effective and safe even in the superobese, adolescents, and older patients. The perioperative mortality is 0-0.1% and excess weight loss (%EWL) is 50-60%. Importantly, the weight loss achieved by LAGB is associated with significant improvements in obesity-related comorbidities. To achieve the best outcomes after LAGB requires the correct laparoscopic technique, an experienced surgical team, a well-engineered device, and intensive long-term follow-up. In this chapter we describe the development of LAGB with respect to its clinical outcomes.
Original language | English |
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Title of host publication | Metabolism and Pathophysiology of Bariatric Surgery: Nutrition, Procedures, Outcomes and Adverse Effects |
Publisher | Elsevier Inc. |
Pages | 113-117 |
Number of pages | 5 |
ISBN (Electronic) | 9780128040638 |
ISBN (Print) | 9780128040119 |
DOIs | |
Publication status | Published - 16 Dec 2016 |
Keywords
- Excess weight loss
- Financial cost
- Gastric banding
- Laparoscopic adjustable gastric banding
- Obesity
- Stomach