engleski

Laparoscopic gastric banding: treatment of choice for morbid obesity

Introduction: Clinically severe obesity and/or morbid obesity are recognized as major public health risks throughout the world. In the Croatia alone, over 60 000 people suffer from this chronic disease. Much of the associated morbidity and mortality is related to co-morbid conditions which include, but are not limited to, cardiac disease, type II diabetes mellitus, obstructive sleep apnoea, [Pickwick syndrome], hypertension, dyslipidemia, gastroesophageal reflux disease, stress urinary incontinence, arthritis of the weight bearing joints, infertility. Surgical treatment of morbid obesity (bariatric surgery) has been well established as being safe and effective. Aim: to present clinical result of laparoscopic bariatric surgery and its advantages. Methods and results: Fourth patients (one male and three female) were operated laparoscopically using Swedish Adjustable Gastric Band (SAGB). Body mass index (BMI) between 40-47. All patients underwent multidisciplinary evaluation (psychiatrist, endocrinologist) before surgery. There were no intraoperative complications. Postoperative follow up was between one and eight months. In one patient band slipped one month after surgery due to patient non compliance and the band was removed. Weight loss 6 months after surgery was between 20 and 30 kg (15-20%). Conclusion: laparoscopic bariatric surgery is feasible and effective treatment option for morbid obesity. Patient cooperation with food restriction is mandatory and non compliance may cause surgical failure.

Laparoscopic gastric banding ; Morbid obesity

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