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  • Title: Egyptian experience in laparoscopic adjustable gastric banding (technique, complications and intermediate results).
    Author: Nowara HA.
    Journal: Obes Surg; 2001 Feb; 11(1):70-5. PubMed ID: 11361172.
    Abstract:
    BACKGROUND: Surgery can provide effective long-term treatment for morbid obesity. The purpose of this study is to present an Egyptian experience of laparoscopic adjustable silicone gastric banding (LASGB) as a safe and effective treatment. METHODS: 108 morbidly obese patients having body mass index (BMI) > 40 kg/m2 were studied. 26 patients had a BMI > 50 kg/m2 and < 60 kg/m2, while 21 patients had a BMI > or = 60 kg/m2. The procedure was performed through a 4 or 5 trocar technique. RESULTS: Mean age was 32.3 years. Mean BMI was 48.9 kg/m2. All except two procedures were completed by laparoscopy. Mean hospital stay was 2.2 days. Mean BMI after 12 months was 37.2 kg/m2 and after 24 months was 34.3 kg/m2. Mean follow-up was 2.1 years and included 87 patients (81%). Complications included: gastric perforation (1), pleural injury (1), liver injury (1), port complications (6), periband sepsis (1) and slippage (3). There were no mortalities in this series. CONCLUSIONS: LASGB proved to be safe and effective for the treatment of morbid obesity in Egyptian patients.
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