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Initial experience and result of a Swedish adjustable gastric banding by laparoscopic approach in Thai cohorts.
Artigo em Inglês | IMSEAR | ID: sea-42130
ABSTRACT

BACKGROUND:

Morbid obesity is a growing problem in Thailand. Several surgical procedures are available for weight reduction. The laparoscopic gastric banding has been shown to be an effective weight loss with a low post or perioperative complication.

OBJECTIVE:

The aim of this report was to evaluate the early preliminary outcome of the laparoscopic Swedish adjustable gastric banding operation in Thai cohort patients. MATERIAL AND

METHOD:

From November 2003 until March 2005, ten patients with a median age of 31 (range, 18-61) underwent laparoscopic Swedish adjustable gastric banding for morbid obesity at Ramathibodi Hospital. Demography, clinical course and outcome including excess weight loss and peri-operative complications were reviewed and studied. Descriptive statistics were used for data summary.

RESULTS:

There were 3 men and 7 women with a median preoperative body weight of 142.5 kg (range, 98-164 kg), and median body mass index (BMI) of 49.2 kg/m2 (range, 40.3-62.4 kg/m2). The operations were successful in 9 out of 10 patients with median operative time of 195 minutes (range, 125-275 minutes). One patient with a BMI of 62.4 had a failed operation due to poor operative exposure from a very large left lobe of the liver. None of the remaining patients required conversion to the opened technique. The mean hospital stay was 4 days with no perioperative mortality. There was no major post operative complication except one minor wound infection. The excess weight loss was within the range of 33.5% to 62.1% during the short-term follow-up (range, 1-15 months)

CONCLUSION:

The presented early preliminary result of the laparoscopic Swedish adjustable gastric banding showed a good technical success with a significant short-term weight loss. The authors believe this minimally invasive operation is appropriate for morbidly obese Thai patient. However a longer follow-up study is needed.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Silicones / Suécia / Tailândia / Obesidade Mórbida / Feminino / Humanos / Masculino / Gastroplastia / Redução de Peso / Adolescente Tipo de estudo: Estudo observacional / Estudo prognóstico País/Região como assunto: Ásia / Europa Idioma: Inglês Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Silicones / Suécia / Tailândia / Obesidade Mórbida / Feminino / Humanos / Masculino / Gastroplastia / Redução de Peso / Adolescente Tipo de estudo: Estudo observacional / Estudo prognóstico País/Região como assunto: Ásia / Europa Idioma: Inglês Ano de publicação: 2006 Tipo de documento: Artigo