Prospective randomised comparison of adjustable gastric banding and vertical banded gastroplasty for morbid obesity.
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.
Nilsell
K
K
Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden. klas.nilsell@gastro.hs.sll.se
Thörne
A
A
Sjöstedt
S
S
Apelman
J
J
Pettersson
N
N
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