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MGB outperforms Laparoscopic Adjustable Silicone
Gastric Banding Versus Vertical Banded Gastroplasty:
From Annals of Surgery
Laparoscopic Adjustable Silicone Gastric Banding Versus Vertical Banded
Gastroplasty in Morbidly Obese Patients: A Prospective Randomized Controlled
Clinical Trial
Posted 12/18/2003
Mario Morino, MD; Mauro Toppino, MD; Gisella Bonnet, MD; Gianmattia del
Genio, MD
AbstractObjective: To compare, in a prospective, randomized,
single-institution trial laparoscopic adjustable silicone gastric
banding (LASGB) with laparoscopic vertical banded gastroplasty (LVBG) in
morbidly obese patients. Results: There were no deaths or conversions in either group. Mean operative time was 94.2 minutes in LVBGs and 65.4 in LASGBs (P < 0.05). Early morbidity rate was lower in LASGBs (6.1%) versus LVBGs (9.8%) (P = 0.754). Mean hospital stay was shorter in LASGBs versus LVBGs: 3.7 days versus 6.6 (P < 0.05). Late complications rate in LVBGs was 14% (7 of 50) and in LASGBs 32.7% (16 of 49) (P < 0.05). The most frequent complication was the slippage of the band (18%). Late reoperations rate in LVBGs was 0% (0 of 50) versus 24.5% (12 of 49) in LASGBs (P < 0.001). Excess weight loss in LVBGs was, at 2 years, 63.5% and, at 3 years, 58.9%; in LASGBs, excess weight loss, respectively, was 41.4% and 39%. BMI in LVBGs was, at 2 years, 29.7 kg/m2 and, at 3 years, 30.7 kg/m2; in LASGBs, BMI was 34.8 kg/m2 at 2 years and 35.7 kg/m2 at 3 years. According to Reinhold's classification, Conclusions: This study demonstrates that, in patients with BMI 40 to 50 kg/m2, LASGB requires shorter operative time and hospital stay but LVBG is more effective in terms of late complications, reoperations, and weight loss. |
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