Egyptian experience in laparoscopic adjustable gastric banding (technique, complications and intermediate results).
BACKGROUND
Surgery can provide effective long-term treatment for morbid obesity. The purpose of this study is to present an Egyptian experience of laparoscopic adjustable silicone gastric banding (LASGB) as a safe and effective treatment.


METHODS
108 morbidly obese patients having body mass index (BMI) > 40 kg/m2 were studied. 26 patients had a BMI > 50 kg/m2 and < 60 kg/m2, while 21 patients had a BMI > or = 60 kg/m2. The procedure was performed through a 4 or 5 trocar technique.


RESULTS
Mean age was 32.3 years. Mean BMI was 48.9 kg/m2. All except two procedures were completed by laparoscopy. Mean hospital stay was 2.2 days. Mean BMI after 12 months was 37.2 kg/m2 and after 24 months was 34.3 kg/m2. Mean follow-up was 2.1 years and included 87 patients (81%). Complications included: gastric perforation (1), pleural injury (1), liver injury (1), port complications (6), periband sepsis (1) and slippage (3). There were no mortalities in this series.


CONCLUSIONS
LASGB proved to be safe and effective for the treatment of morbid obesity in Egyptian patients.
Nowara
H A
HA
Cairo University, Egypt. surgery@mail.com
D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D004534:Egypt; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008099:Liver / Q000293:injuries; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D010994:Pleura / Q000293:injuries; D012828:Silicones; D013270:Stomach / Q000293:injuries; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome
D012828:Silicones