| Abstract [eng] |
Laparoscopic adjustable gastric banding (LAGB) is now a well-established and standardized procedure, which is considered to be the least invasive and the safest bariatric operation in regard to perioperative complication and mortality rates. Many different adjustable gastric bands are used worldwide. There are many publications comparing different gastric bands; however, most are focused on Swedish Adjustable Gastric Band (SAGB) and LAP-BAND devices. The main difference between SAGB and MiniMizer bands is their distinct fixation method (with and without plication), which theoretically could contribute to different postoperative outcomes. The aim of this study was to evaluate 5-year results comparing SAGB and MiniMizer Extra adjustable gastric bands. We have determined that LAGB is a safe and effective bariatric procedure; after 5 years, the average percentage excess weight loss was 47.3%; the overall complication rate was 15.5%, and the mean Bariatric Analysis and Reporting Outcome System (BAROS) and Moorhead-Ardelt quality of life questionnaire scores indicated good results. There were no differences between the two bands regarding the resolution of comorbidities, morbidity, and quality of life. A significantly higher proportion of patients reached a BMI below 35 kg/m2 in the MiniMizer band group; therefore, the percentage weight loss and percentage excess BMI loss were also significantly higher in the MiniMizer group. The remaining parameters regarding weight loss were comparable between the two groups. We also derived equations which enable us to predict percentage excess weight loss for the individual patient. |
