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SWEDISH ADJUSTABLE GASTRIC BAND BY VIDEOLAPAROSCOPY: 5 AND 10 YEARS FOLLOW UP

Pablo Omelanczuk1, Martin Berducci1, Magali Sanchez2, Natalia Pampillon2, Viviana Lasagni2, Sonia Omelanczuk2, Cecilia Penutto2, Mariela Abaurre2, Romina Palma2. 1Hospital Italiano de Mendoza Argentina, 2Centro Quirúrgico de la Obesidad

Objective: To show the results of five and ten years follow up in  patients with morbid obesity surgically treated by videolaparoscopy placing a Swedish adjustable gastric band.

Method: This is a retrospective study of patients that underwent surgical treatment for obesity through a Swedish adjustable gastric band placed by videolaparoscopy. 80 patients from a single surgeon at 1 bariatric Center in Mendoza, Argentina were evaluated. All patients were evaluated preoperatively by the multidisciplinary team. Mean age was 40. Sex ratio was 83 % female 17 % male and mean preoperative BMI was 47,13 kg/m2.

Results: All patients underwent laparoscopic treatment. The average hospital stay was 24 hours. Operative time average was 40 minutes. The average post-operative % EWL at one, five and 10 years was 39.7 %, 56.9 %, and 34,12 %. Follow up was, 75 % at five years and 70 % at 10 years. Acute complications: one patient had laceration of the liver, and another developed port infection. Late complications were; erosion (0.9%), slippeage (1,3%). Thirty two patients (40 %) had a conversion, 28 patients (90 % ) to RYGB and 4 (10 %)  to sleeve gastrectomy.

Conclusions: The surgical treatment of obesity by placing and adjustable gastric band, results at 10 years are not good in terms of weight loss, complications and the need of conversion to another bariatric procedure. All patients need a well as a strict follow-up in order to get good results.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88257

Program Number: P603

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

34

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