Laparoskopisches verstellbares magenband

Abstract

Background: Obesity and morbid obesity is a chronic, multifactorial disease, which needs to be treated. A nontreated morbid obesity in the age between 25 and 34 causes a mortality 12 times higher than in a comparable group of normal weight individuals during an oberservation period of 7 years. According to long-term results conservative treatment is unsuccessful in the case of morbid obesity. Methods: We take the view that the laparoscopic adjustable gastric banding, namely the LAP-BAND®-System and the SAGB® represent an efficient method for the treatment of the majority of morbid obese patients. It is not necessary to lance stomach or small bowel anatomy and digestion-physiology remains intact. Loss of weight and food intake can be adapted individually to the needs of the patient. Results: 80 %-90 % of the patients may expect to lose 60 %-70 % of their exessive weight. Removal of the laparoscopic adjustable gastric banding and recovery of the initial situation is much easier to perform than other surgical operations. The surgical method is difficult to handle during the learning period, but is easy to carry out later on and shows a comparatively small risk by compliance with the safety recommendations. In contrast to this there is a mortality risk of 0,45 % at experienced institutes. Conclusions: For many of these reasons the laparoscopic adjustable gastric banding is a comparatively safe and efficient treatmerits of morbid obesity and in future it will be one of the major treatment for most of these patients.