Lap Band Less Effective than Stomach Stapling
The Lap Band is advertised as an attractive choice for weight loss. A recent controlled prospective randomized trial shows that the LapBand is not as good as the abandoned "Stomach Stapling!"
Obes Surg. 2009 Aug;19(8):1108-15. Epub 2009 Jun 10.Click here to read Links
Laparoscopic adjustable silicone gastric banding vs laparoscopic vertical banded gastroplasty in morbidly obese patients: long-term results of a prospective randomized controlled clinical trial.
Scozzari G, Farinella E, Bonnet G, Toppino M, Morino M.
Digestive Surgery and Center for Minimal Invasive Surgery, Department of Surgery, University of Turin, C.so A.M. Dogliotti 14, 10126, Turin, Italy.
BACKGROUND: Aim of the study is to present long-term results of a prospective randomized single-institution clinical trial comparing laparoscopic adjustable silicone gastric banding (LASGB) with laparoscopic vertical banded gastroplasty (LVBG) in morbid obesity.
METHODS: A total of 100 morbidly obese patients (body mass index 40 to 50 kg/m2) were randomized to LASGB (n=49) or LVBG (n=51) and followed up for a minimum of 7 years.
RESULTS: Mean operative time was 65.4 min in LASGBs and 94.2 min in LVBGs (p<0.05); mean hospital stay was 3.7 and 6.6 days, respectively (p<0.05).
Late complication rates were
36.7% in LASGBs vs 15.7% in LVBGs at 3 years (p<0.05),
46.9% vs 43.1% at 5 years (NS), and
55.1% vs 47.1% at 7 years (NS).
Late reoperation rates were
28.6% in LASGBs and 2.0% in LVBGs at 3 years (p<0.001),
38.8% and 2.0% at 5 years (p<0.001), and
46.9% and 7.8% at 7 years (p<0.001).
Excess weight loss in LASGBs was
41.8% at 3 years,
33.2% at 5 years, and
29.9% at 7 years;
excess weight loss in LVBGs was
60.9%,
57%, and
53.1%, respectively (p<0.05).
CONCLUSIONS:
This study demonstrates that
LVBG is significantly more effective than LASGB in terms of
late complications,
late reoperations, and
long-term results on weight loss.
http://sites.google.com/a/clos.net/mini/lap-band-less-effective-than-stomach-stapling
--
Dr. Rutledge
Email: DrR@clos.net
Private Cell Phone 702-215-9550
On the Web=> www.CLOS.Net
posted by DrR @ 8:00 PM
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