title: Prospective randomised comparison of adjustable gastric banding and vertical banded gastroplasty for morbid obesity.
abstract: OBJECTIVE
  To compare the clinical results of adjustable gastric banding and vertical banded gastroplasty for morbid obesity.
  
  
  METHODS
  Prospective randomised trial.
  
  
  METHODS
  University hospital, Sweden.
  
  
  METHODS
  59 morbidly obese patients, listed for obesity surgery.
  
  
  METHODS
  Adjustable gastric banding (n = 29) or vertical banded gastroplasty (n = 30).
  
  
  METHODS
  Weight loss, complications, need for revisional surgery, reflux symptoms and the patient's own evaluation.
  
  
  RESULTS
  Five years after surgery the mean (SEM) weight reduction for adjustable gastric banding was 43 (3.0) kg and for vertical banded gastroplasty 35 (4.8) kg. One patient in each group died of unrelated causes during follow-up and 3 and 2 patients, respectively, were lost to follow-up. One patient in the vertical banded group required reoperation for an anastomotic leak on the third postoperative day. A total of 3 patients in the adjustable group required reoperation and 11 in the vertical banded group.
  
  
  CONCLUSIONS
  Adjustable gastric banding carries a smaller risk of reoperation than vertical banded gastroplasty and the weight reduction is in the same order of magnitude.
authors.affiliation: Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden. klas.nilsell@gastro.hs.sll.se
authors.forename: K
authors.initials: K
authors.lastname: Nilsell
authors.forename: A
authors.initials: A
authors.lastname: Thörne
authors.forename: S
authors.initials: S
authors.lastname: Sjöstedt
authors.forename: J
authors.initials: J
authors.lastname: Apelman
authors.forename: N
authors.initials: N
authors.lastname: Pettersson
mesh_terms: D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation