title: Gastric banding in the treatment of morbid obesity. Factors influencing immediate and long-term results.
abstract: Gastric banding for morbid obesity was performed on 73 patients between April 1983 and December 1986. Early complications occurred in 16% and late complications in 15% of the cases. A second operation was performed on 12 patients, with removal of the band in 11 (15%). Initial weight loss was rapid. Re-examination of 67 patients indicated that this initial loss was followed by a time-related weight gain. Weight reduction occurred as a fairly constant proportion of preoperative weight, irrespective of the degree of obesity. Weight loss to body mass index less than or equal to 30 seems to be a realistic expectation only for moderately overweight patients, not for the hyperobese. Older patients had least weight loss. The data suggest that dietary restrictions will still be needed after gastric banding.
authors.affiliation: Department of Surgery, Rogaland Central Hospital, Stavanger, Norway.
authors.forename: E J
authors.initials: EJ
authors.lastname: Sjøberg
authors.forename: E
authors.initials: E
authors.lastname: Andersen
authors.forename: R
authors.initials: R
authors.lastname: Hoel
authors.forename: S
authors.initials: S
authors.lastname: Reinertsen
authors.forename: O
authors.initials: O
authors.lastname: Søreide
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D013270:Stomach / Q000601:surgery*; D015431:Weight Loss