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Adjustable Gastric Banding: Assessment of Safety and Efficacy of Bolus-Filling during Follow-Up
- Source :
- Obesity Surgery; March 2004, Vol. 14 Issue: 3 p387-391, 5p
- Publication Year :
- 2004
-
Abstract
- Background: Individual band-filling on demand of the morbidly obese patient is a major advantage of adjustable gastric banding. An increasing number of patients results in an enormous amount of outpatient follow-up visits, which inspired us to compare a stepwise band-filling strategy with a single bolus injection 4 weeks after the operative procedure. Methods: 40 consecutive patients were prospectively randomized in 2 groups. 20 patients (Group A) had stepwise band-filling during 6 monthly ambulant visits. 20 patients (Group B) had a bolus-filling 4 weeks postoperatively and had the next follow-up after another 5 months. Weight loss, complications and procedural costs during follow-up were compared. Results: Patients of both groups did not differ in age, gender or preoperative BMI.There was no significant difference postoperatively in excess weight lost (EWL) after 9 months. Postoperative complications did not differ significantly.By means of bolus-filling, a 60% and 53% reduction in outpatient clinical work was achieved within the 6 and 9 months, respectively. Conclusion: Postoperative management after gastric banding takes advantage of a single bolus-filling during the first postoperative 6 months due to sufficient weight loss, low complication rate but significant reduction of personal, financial and logistic efforts.
Details
- Language :
- English
- ISSN :
- 09608923 and 17080428
- Volume :
- 14
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Obesity Surgery
- Publication Type :
- Periodical
- Accession number :
- ejs12486428
- Full Text :
- https://doi.org/10.1381/096089204322917927