Laparoscopic surgery in the treatment of morbid obesity: first experiences with the Swedish adjustable gastric band at "Sestre milosrdnice" University Hospital
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.
Abu-Abeid S, Keidar A, Gavert N, Blanc A, Szold A. The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2003 Jun;17(6):861-3. Epub 2003 Mar 7.
Angrisani L, Furbetta F, Doldi SB et al. Lap Band adjustable gastric banding system: the Italian experience with 1863 patients operated on 6 years. Surg Endosc. 2003 Mar;17(3):409-12. Epub 2002 Dec 4.
DeMaria EJ, Sugerman HJ, Meador JG et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg. 2001 Jun;233(6):809-18.
Hallberg D, Forsell P: Ballongband vid behandling av massiv övervikt. Svensk Kirurgi 1985;43:106.
Luján JA, Hernandez Q, Frutos MD, Valero G, Cuenca JR, Parrilla P. Laparoscopic gastric bypass in the treatment of morbid obesity. Preliminary results of a new technique. Surg Endosc. 2002 Dec;16(12):1658-62. Epub 2002 Jul 29.
Mittermair RP, Weiss H, Nehoda H, Kirchmayr W, Aigner F. Laparoscopic Swedish adjustable gastric banding: 6-year follow-up and comparison to other laparoscopic bariatric procedures. Obes Surg. 2003 Jun;13(3):412-7.
Ren CJ, Weiner M, Allen JW. Favorable early results of gastric banding for morbid obesity: the American experience. Surg Endosc. 2004 Mar;18(3):543-6. Epub 2004 Feb 2.
Suter M, Bettschart V, Giusti V, Heraief E, Jayet A. A 3-year experience with laparoscopic gastric banding for obesity. Surg Endosc. 2000 Jun;14(6):532-6.
Suter M1, Giusti V, Héraief E, Zysset F, Calmes JM. Laparoscopic gastric banding. Surg Endosc. 2003 Sep;17(9):1418-25. Epub 2003 Jun 17.
Szold A, Abu-Abeid S. Laparoscopic adjustable silicone gastric banding for morbid obesity: results and complications in 715 patients. Surg Endosc. 2002 Feb;16(2):230-3. Epub 2001 Oct 5.
Valen B, Munk AC. Long term effects o gastric banding for weight reduction. Tidsskr Nor Laegeforen. 2000 Jun 30;120(17):1995-6.
Copyright (c) 2004 Acta Chirurgica Croatica
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors hereby authorize the Acta Chirurgica Croatica (ACC) to publish their work.
The authors are aware that although ACC is Open Access journal, the copyright of all material published is vested in ACC. Open access articles are freely available to read, download, and share from the time of publication under the terms of the Creative Commons License Attribution ‐ NonCommerical No Derivative (CC BY‐NC‐ND) license. This license does not permit reuse for any commercial purposes nor does it cover the reuse or modification of individual elements of the work (such as figures, tables, etc.) in the creation of derivative works without specific permission of ACC and appropriate acknowledgment of its source. The authors permit ACC to allow third parties to copy any part of the work without asking for permission, provided that the reference to the source is given and that this is not done for commercial purposes. Except for copyright, other proprietary rights related to the work (e.g., patent or other rights to any process or procedure) shall be retained by the author. To reproduce any text, figures, tables, or illustrations from this work in future works of their own, the author must obtain written permission from ACC.
Each of the author(s) hereby also grants permission to ACC to use such author’s name and likeness in connection with any past, present or future promotional activity by ACC, including, but not limited to, promotions for upcoming issues or publications, circulation solicitations, advertising or other publications in connection with ACC. Also, each of the author(s) hereby grants permission to ACC to use the manuscript in editorial research related to the improvement of editorial conduct, decision making, and issues related to peer review.
Each of the author(s) hereby releases and shall indemnify and hold harmless ACC and its successors, assigns, licensees, officers, directors, employees, and their respective heirs and representatives from and against any and all liabilities, losses, damages and expenses arising out of any claims of any kind that may be asserted against any of them based in whole or in part on any breach of the author(s)’ representations or warranties herein or in the work or anything contained in the work, including but not limited to any claims for copyright infringement or violation of any rights of privacy or publicity.