Naslov
LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING (LAGB) FOR MORBID OBESITY - OUR RESULTS

Autori
Škorjanec Sandra, Bekavac-Bešlin Miroslav, Glavan Elizabeta, Ledinsky Mario, Mijic August

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
ACTA CHIRURGICA CROATICA / Petričević Ante - Split : Slobodna Dalmacija, 2006, 20-20

Skup
8. HRVATSKI KONGRES ENDOSKOPSKE KIRURGIJE S MEĐUNATODNIM SUDJELOVANJEM

Mjesto i datum
Zagreb, Hrvatska, 07.12.2006. - 09.12.2006

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
LAGB; Morbid obesity

Sažetak
Introduction: Surgery presents the only therapeutic solution with long-term results for morbid obesity. Individuals who have a Body Mass Index (BMI) of 40 kg/m2 and above along with patients with a BMI of >35 kg/m2 with at least one severe comorbidity are considered to be morbidly obese and generally qualify for weight-loss surgery. Among surgical options, laparoscopic adjustable gastric banding (LAGB) represents the most commonly performed procedure. Minimally invasivity, lack of metabolic complications, complete reversibility of the procedure and the individually postoperative adjustable degree of restriction approve at the present time widely use. The first laparoscopic adjustable gastric banding in Croatia was performed in May 2004 at Clinical Hospital "Sestre Milosrdnice". Aim: to illustrate newly performed surgical treatment for morbid obesity and to describe our early results. Methods: Within a period of 30 months, the adjustable gastric band was implanted in 38 morbidly obese patients (female, 25 ; male, 13 ; mean age, 43, 6 years ; range, 21-64 years). So called "pars flaccida" technique was used and 1 operation required conversion to laparotomy due to gastric lesion and 1 operation terminated with laparoscopy due to massive postoperative adhesions. Results: The average duration of operation was 80 ± 10 minutes. Mean length of stay was 3.7 days (range 2-9 days). An average body weight at time of surgery was 138.4 kg (range 104-204 kg), mean body mass index (BMI) was 46.6 kg/m2 (range 36.1-61.6 kg/m2 ) ; Throughout 1, 3, 6, 9, 12 and 18 months follow- up an average of 21.9 ; 33.3 ; 35.2 ; 39.6 ; 43, 4 and 45, 3 % of excessive weight loss (EWL) was observed. Good tolerance and low complication rate was noted. Conculsion: Good early EWL results associated to low complications rate suggesting qualitative minimally invasive surgical procedure in morbid obesity treatment in patients with BMI < 50 kg/m2 .

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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