Weight Loss and Improvement of Comorbidities after Laparoscopic Adjustable Gastric Banding for Morbid Obesity

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 41; no. 6; pp. 599 - 604
• Main Authors: Okunaga, Ryoki, Endo, Yuichi, Eguchi, Hidetoshi, Kai, Seiichiro, Shibata, Kohei, Kitano, Seigo, Uchida, Hiroki, Iwaki, Kentaro, Ohta, Masayuki
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 2008
• Subjects: bariatric surgery; laparoscopic adjustable gastric banding; laparoscopic Roux-en-Y gastric bypass; morbid obesity; obesity
• ISSN: 0386-9768; 1348-9372; 1348-9372
• DOI: 10.5833/jjgs.41.599

Background: We introduced laparoscopic adjustable gastric banding (LAGB) to Japan. Methods: Between August 2005 and August 2007, 21 morbidly obese patients with 44±10kg/m2 (mean±S. D.) BMI underwent LAGB. LAGB using the pars flaccida technique with 3-5 gastric-to-gastric sutures did to prevent band slippage. Results: No conversion to open surgery or post-LAGB complications were seen. Weight loss 12 months after surgery was 25±11kg and the percentage of excess weight loss was 41±7%. After 18 months, there were 29±13kg and 49±11%. Weight loss led to lower hypertension in 91% of patients, lower dyslipidemia in 94%, and improved type 2 diabetes in 100%. Conclusions: LAGB is safe and effective, and is expected to play an important role in the treatment of morbid obesity in Japan.