Laparoscopic surgery in the treatment of morbid obesity: first experiences with the Swedish adjustable gastric band at "Sestre milosrdnice" University Hospital

  • Björn Dario Franjic Department of Surgery, University Hospital "Sestre Milosrdnice", Zagreb, Croatia
  • Zvonimir Puljiz Department of Surgery, University Hospital "Sestre Milosrdnice", Zagreb, Croatia
  • Tihomir Grgic Department of Surgery, University Hospital "Sestre Milosrdnice", Zagreb, Croatia
  • Aljosa Matejcic Department of Surgery, University Hospital "Sestre Milosrdnice", Zagreb, Croatia
  • Miroslav Bekavac-Beslin Department of Surgery, University Hospital "Sestre Milosrdnice", Zagreb, Croatia
Keywords: morbid obesity, laparoscopy

Abstract

Morbid obesity should be comprehended as an evolving chronic disease that is accompanied by various hazardous comorbidities with their potential lethal complications. Individuals who have a Body Mass Index (BMI) of 40 kg/m2 and above are considered to be morbidly obese and generally qualify for weight-loss surgery. Furthermore, patients with a BMI of >35 kg/m2 with at least one severe comorbidity are also considered to be candidates for surgery.Laparoscopic implantation of the Swedish Adjustable Gastric Band (SAGB) is a minimally invasive surgical procedure that has encountered a growing popularity and represents one of the most commonly performed restrictive bariatric surgical procedures. The fast laparoscopic gastric banding with the SAGB at University Hospital Sestre Milosrdnice was performed in May 2004. The case of a patient who had a BMI of 47 kg/m2 and weighed 161 kg at the time of admittance is shown. The SAGB was successfully implanted, the postoperative course was satisfactory and the patient was discharged in good condition. Three weeks after the procedure he weighed 142kg, had no feeling of hunger and there was no further need for insulin as blood glucose levels normalized and blood pressure was within normal values.

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References

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Published
2004-12-01
How to Cite
1.
Franjic BD, Puljiz Z, Grgic T, Matejcic A, Bekavac-Beslin M. Laparoscopic surgery in the treatment of morbid obesity: first experiences with the Swedish adjustable gastric band at "Sestre milosrdnice" University Hospital. Acta Chir. Croat. [Internet]. 2004Dec.1 [cited 2021Oct.17];1(1):9-13. Available from: https://www.acc.hkd.com.hr/index.php/ACC/article/view/45
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