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Initial J apanese experience with the LAP ‐ BAND system
Author(s) -
Ohta Masayuki,
Kitano Seigo,
Kai Seiichiro,
Shiromizu Akio,
Iwashita Yukio,
Endo Yuichi,
Kawano Yuichiro,
Masaki Takayuki,
Kakuma Tetsuya,
Yoshimatsu Hironobu
Publication year - 2013
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2012.00156.x
Subject(s) - medicine , weight loss , surgery , adjustable gastric band , laparoscopic adjustable gastric banding , complication , morbid obesity , excess weight , obesity
Abstract Introduction Laparoscopic bariatric surgery has gradually spread in J apan since it was introduced in 2000. In 2005, we introduced laparoscopic adjustable gastric banding ( LAGB ) with the LAP ‐ BAND system into J apan. Here, we evaluate our intermediate‐term results with the LAP ‐ BAND system. Methods Between A ugust 2005 and J une 2010, 27 Japanese patients with morbid obesity ( BMI ≥ 35 kg/m 2 ) underwent LAGB with the LAP ‐ BAND system in our institution. Our patients' average weight was 111 kg and BMI was 41 kg/m 2 . All LAGB procedures were performed through the pars flaccida pathway with band fixation using gastric‐to‐gastric sutures. The average follow‐up period was 48 months. Results All procedures were completed laparoscopically. One early complication (sudden cardiac arrest due to postoperative bleeding) and three late complications (port trouble, megaesophagus, and band slippage) were experienced, and reoperations were performed in three of the patients. Weight loss and percentage of excess weight loss on average were 26 kg and 53% after 3 years and 22 kg and 53% after 6 years, respectively. In line with this good weight loss, comorbidities, especially those of type 2 diabetes and metabolic syndrome were frequently resolved or improved. Conclusion LAGB with the LAP ‐ BAND system appears to be beneficial in obese Japanese patients.