Adjustable gastric banding: assessment of safety and efficacy of bolus-filling during follow-up

Individual band-filling on demand of the morbidly obese patient is a major advantage of adjustable gastric banding. An increasing number of patients results in an enormous amount of outpatient follow-up visits, which inspired us to compare a stepwise band-filling strategy with a single bolus injecti...

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Bibliographic Details
Published in:Obesity surgery 2004-03, Vol.14 (3), p.387-391
Main Authors: Kirchmayr, W, Klaus, A, Mühlmann, G, Mittermair, R, Bonatti, H, Aigner, F, Weiss, H
Format: Article
Language:English
Subjects:
Adult
Aged
Ambulatory Care - methods
Costs and Cost Analysis
Female
Gastroplasty - economics
Gastroplasty - methods
Humans
Male
Middle Aged
Postoperative Complications
Prospective Studies
Surgery
Treatment Outcome
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Summary:Individual band-filling on demand of the morbidly obese patient is a major advantage of adjustable gastric banding. An increasing number of patients results in an enormous amount of outpatient follow-up visits, which inspired us to compare a stepwise band-filling strategy with a single bolus injection 4 weeks after the operative procedure. 40 consecutive patients were prospectively randomized in 2 groups. 20 patients (Group A) had stepwise band-filling during 6 monthly ambulant visits. 20 patients (Group B) had a bolus-filling 4 weeks postoperatively and had the next follow-up after another 5 months. Weight loss, complications and procedural costs during follow-up were compared. Patients of both groups did not differ in age, gender or preoperative BMI. There was no significant difference postoperatively in excess weight lost (EWL) after 9 months. Postoperative complications did not differ significantly. By means of bolus-filling, a 60% and 53% reduction in outpatient clinical work was achieved within the 6 and 9 months, respectively. Postoperative management after gastric banding takes advantage of a single bolus-filling during the first postoperative 6 months due to sufficient weight loss, low complication rate but significant reduction of personal, financial and logistic efforts.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089204322917927