Background: This study analyzes the results of the Italian Group for Lap-Band-System (GILB) in the last 10 years. Methods. Patients operated from January 1996 to December 2005 were allocated into two groups according to the year of band positioning: LB1 (January 1996 to December 2000) and LB2 (January 2001 to December 2005). Laparotomic conversion, post- operative complications and weight loss (BMI and %EWL at min- imum 3 years of follow-up) were considered. Data SD. Statistical analysis was done with Fishers’ ± were expressed by mean exact- test or Student t-test (p<0.05 was considered significant). Results. From January 1996 to December 2005, 5,624 patients underwent LapBand-System procedure (age: 37.1±12, sex: 4,431F/1,193M; BMI: 44.8±9.1 kg/m2, EW: 56.3±21.7 kg; %EW: 75.8±27.2). Both group were similar for demographics. Band was positioned by Peri-gastric access was in all LB1-group, and in 47.3% of LB2-group. Laparotomic conversion rate was higher in LB1-group (51 vs 8; p<0.001), mainly due to surgical anatomy (41 vs 4; p<0.001). Late complications rate was higher in LB1- group (734; 28.6% Vs 172; 6.7%; p<0.001)and were mainly due to: gastric pouch dilation-slippage (365 vs 67; p<0.001); intra- gastric migration (68 vs 17; p<0.001), and tube-port failure (301 vs 88 p<0.001). Patient eligible at minimum 3 years follow-up were 1,792/2,539 and 960/2,549 with mean BMI of 33.7±11.7 and 31.9±12.2, and mean %EWL of 46.8±23.8 and 50.4±21.9, in LB1 and LB2-groups respectively. Conclusions. Significant improvement of Lap-Band System results in laparotomic conversion and postoperative complica- tions rate were observed during the 2nd five years.
Lorenzo, M., Furbetta, F., Favretti, F., Angrisani, L., Micheletto, M., Lattuada, E., et al. (2007). Lap-Band System (R): The Italian multicentric experience in the last 10 years. OBESITY SURGERY, 17, 1037-1037.
Lap-Band System (R): The Italian multicentric experience in the last 10 years
Capizzi, F. D.;Bernante, P.
2007
Abstract
Background: This study analyzes the results of the Italian Group for Lap-Band-System (GILB) in the last 10 years. Methods. Patients operated from January 1996 to December 2005 were allocated into two groups according to the year of band positioning: LB1 (January 1996 to December 2000) and LB2 (January 2001 to December 2005). Laparotomic conversion, post- operative complications and weight loss (BMI and %EWL at min- imum 3 years of follow-up) were considered. Data SD. Statistical analysis was done with Fishers’ ± were expressed by mean exact- test or Student t-test (p<0.05 was considered significant). Results. From January 1996 to December 2005, 5,624 patients underwent LapBand-System procedure (age: 37.1±12, sex: 4,431F/1,193M; BMI: 44.8±9.1 kg/m2, EW: 56.3±21.7 kg; %EW: 75.8±27.2). Both group were similar for demographics. Band was positioned by Peri-gastric access was in all LB1-group, and in 47.3% of LB2-group. Laparotomic conversion rate was higher in LB1-group (51 vs 8; p<0.001), mainly due to surgical anatomy (41 vs 4; p<0.001). Late complications rate was higher in LB1- group (734; 28.6% Vs 172; 6.7%; p<0.001)and were mainly due to: gastric pouch dilation-slippage (365 vs 67; p<0.001); intra- gastric migration (68 vs 17; p<0.001), and tube-port failure (301 vs 88 p<0.001). Patient eligible at minimum 3 years follow-up were 1,792/2,539 and 960/2,549 with mean BMI of 33.7±11.7 and 31.9±12.2, and mean %EWL of 46.8±23.8 and 50.4±21.9, in LB1 and LB2-groups respectively. Conclusions. Significant improvement of Lap-Band System results in laparotomic conversion and postoperative complica- tions rate were observed during the 2nd five years.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
