Journal of the Formosan Medical Association
Volume 105, Issue 11 , Pages 887-894, 2006

Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan

  • Wei-Jei Lee

      Affiliations

    • Department of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, Taiwan
    • Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Weu Wang

      Affiliations

    • Department of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, Taiwan
    • Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Po-Li Wei

      Affiliations

    • Department of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, Taiwan
    • Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Ming-Te Huang

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan
    • Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Ming-Te Huang, Department of Surgery, Taipei Medical University Hospital, 252 Wu-Hsing Street, Taipei, Taiwan

Received 21 October 2005; received in revised form 30 November 2005; accepted 4 April 2006.

Article Outline

Background/Purpose

Laparoscopic adjustable gastric banding (LAGB) is a newly developed minimally invasive surgical procedure for the treatment of morbid obesity. This study was conducted to evaluate body weight loss, surgical complications, and comorbidities after LAGB surgery.

Methods

Ninety-one morbidly obese patients (mean age, 31.2 years; mean preoperative weight, 120.8 kg) underwent LAGB in a private Taiwan hospital setting within a comprehensive multidisciplinary bariatric program. Patients were followed up to 36 months. Comorbidities were assessed in 55 patients who completed more than 12 months of follow-up by comparing each comorbid condition before surgery and during follow-up.

Results

All procedures were performed laparoscopically with no conversion. Mean operation time was 88.7 ±32.9 minutes. There were no intraoperative or major postoperative complications. Minor complication of stoma stenosis occurred in three (3.3%) patients. At 36 months after surgery, mean body mass index had decreased from 42.7 to 33.9 kg/m2, and mean percentage of excess weight loss was 44.8%. Late complications were as follows: intractable vomiting requiring band removal in one (1.1%) patient, tubing problems requiring revision surgery in four (4.3%), and stoma obstruction in two (2.1%). There was no mortality. Resolution or improvement of comorbidities was significant for hyperglycemia and diabetes-related index, dyslipidemia, abnormal liver function, hyperuricemia, sleep apnea, and arthralgia, but not for hypertension.

Conclusion

LAGB provides good weight loss and significant reduction in comorbidities with few minor complications.

Key Words:  gastric banding , morbidly obesity , obese-related illness

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PII: S0929-6646(09)60174-1

doi:10.1016/S0929-6646(09)60174-1

Journal of the Formosan Medical Association
Volume 105, Issue 11 , Pages 887-894, 2006

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