Ann Surg Treat Res.  2017 Jun;92(6):419-422. 10.4174/astr.2017.92.6.419.

Prospective, double center, 1-year results of adjustable gastric banding with MIDBAND (gastro-gastric suture vs. non-gastro-gastric suture)

• Han SM
• Kim SM

• KMID: 2387415
• DOI: http://doi.org/10.4174/astr.2017.92.6.419

Abstract

PURPOSE
Although laparoscopic adjustable gastric banding (LAGB) is a popular bariatric procedure, few comprehensive studies have been investigated on the use of non-gastro-gastric sutures (NGGSs) for decreasing postoperative complications. This study aimed to assess and compare the safety and effectiveness of MIDBAND with or without gastro-gastric sutures (GGSs).
METHODS
Between February 2013 and March 2014, 41 severely obese patients underwent primary LAGB using pars flaccid technique at double center in South Korea. Excess weight loss, operative time and postoperative complications were assessed and compared between a GGS group (group 1) and a NGGS group (group 2), and patients were followed monthly for 1 year.
RESULTS
Mean body mass indices in groups 1 and 2 were 38.4 ± 4.7 and 38.9 ± 5.0 kg/m², respectively, and mean percentage excess weight losses (%EWLs) were 59.9% ± 28.4% and 50.9% ± 20.0%, respectively, at 6 months, and 75.8% ± 26.6% and 72.5% ± 27.5%, respectively, at 12 months, and these intergroup differences of %EWL were not significant (P = 0.256 and P = 0.704, respectively). Mean operative time (57.2 minutes) was shorter in group 2 than in group 1 (79.2 minutes) (P < 0.001). In terms of complications, pouch dilatation rates were similar in the 2 groups, and no case of gastric band erosion was encountered.
CONCLUSION
Operative time was shorter in the NGGS group, and pouch dilatation rates and %EWL were similar in the 2 groups. We conclude NGGS using MIDBAND is both straightforward and effective. A long-term prospective comparative study is needed to demonstrate the safety and efficacy of NGGS.

Keyword

Laparoscopy; Bariatric surgery; Complications; Gastroplasty

MeSH Terms

Bariatric Surgery
Dilatation
Gastroplasty
Humans
Korea
Laparoscopy
Operative Time
Postoperative Complications
Prospective Studies*
Sutures*
Weight Loss

Figure

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  Fig. 1 The anterior part of the band was covered using 2 gastro-gastric sutures to minimize the risk of slippage or pouch dilatation.

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