title: [Bariatric surgery using an adjustable gastric band for morbid obesity: initial 30 patients in The Netherlands].
abstract: OBJECTIVE
  Early evaluation of efficacy and safety of Adjustable Silicone Gastric Banding (ASGB) in the treatment of morbid obesity.
  
  
  METHODS
  Descriptive.
  
  
  METHODS
  Red Cross Hospital, Beverwijk, the Netherlands.
  
  
  METHODS
  In the period September 1991-September 1993, 30 eligible patients (5 men and 25 women, median age 37 years (range 22-60), median excessive weight 63 kg (18-94), median body mass index (BMI) 43 kg/m2 (28-53)) were operated. A horizontal gastroplasty was performed resulting in a pouch of 25 ml and a new stomach outlet with a diameter of 12 mm. The volume of the band may be increased in order to diminish the diameter of the outlet according to clinical needs postoperatively.
  
  
  RESULTS
  The follow-up was 10 months in 13 of the 30 patients. After 6 months median BMI was 33 kg/m2 (23-38) and median loss of excessive weight 53% (27-94), after 10 months these 28 kg/m2 (23-38) and 67% (27-98) respectively. No patients died perioperatively; 52 gastric band adjustments were necessary in 17 patients. Complications consisted of: band dislocation (1 patient), functional stenosis (2), gastric perforation (2) and wound infection (1). Four patients needed reoperation.
  
  
  CONCLUSIONS
  In this short term follow-up ASGB gave a good weight reduction. Advantages of ASGB are the reversibility of the operation and the adjustable outlet.
authors.affiliation: Afd. Algemene Heelkunde, Rode Kruis Ziekenhuis, Beverwijk.
authors.forename: P V
authors.initials: PV
authors.lastname: van Eerten
authors.forename: W E
authors.initials: WE
authors.lastname: Tuinebreijer
authors.forename: R S
authors.initials: RS
authors.lastname: Breederveld
authors.forename: R W
authors.initials: RW
authors.lastname: Kreis
authors.forename: M A
authors.initials: MA
authors.lastname: Hunfeld
authors.forename: G H
authors.initials: GH
authors.lastname: de Groot
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D015431:Weight Loss
vernacular_title: Bariatrische chirurgie met een variabele maagband voor morbide obesitas: eerste 30 patiënten in Nederland.