Publication: Initial experience and result of a Swedish adjustable gastric banding by laparoscopic approach in Thai cohorts
Issued Date
2006-09-15
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ISSN
01252208
01252208
01252208
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2-s2.0-33748491490
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.89, No.8 (2006), 1140-1145
Suggested Citation
Theerapol Angkoolpakdeekul, Preeda Samlitpradit, Daruneewan Warodomwichit, Chulaporn Roongpisuthipong, Paisal Pongchailert, Surat Komindr Initial experience and result of a Swedish adjustable gastric banding by laparoscopic approach in Thai cohorts. Journal of the Medical Association of Thailand. Vol.89, No.8 (2006), 1140-1145. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/23599
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Title
Initial experience and result of a Swedish adjustable gastric banding by laparoscopic approach in Thai cohorts
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Abstract
Background: Morbid obesity is a growing problem in Thailand. Several surgical procedures are available for weight reduction. The laparoscopic gastric banding has been shown to be an effective weight loss with a low post or perioperative complication. Objective: The aim of this report was to evaluate the early preliminary outcome of the laparoscopic Swedish adjustable gastric banding operation in Thai cohort patients. Material and Method: From November 2003 until March 2005, ten patients with a median age of 31 (range, 18-61) underwent laparoscopic Swedish adjustable gastric banding for morbid obesity at Ramathibodi Hospital. Demography, clinical course and outcome including excess weight loss and peri-operative complications were reviewed and studied. Descriptive statistics were used for data summary. Results: There were 3 men and 7 women with a median preoperative body weight of 142.5 kg (range, 98-164 kg), and median body mass index (BMI) of 49.2 kg/m 2 (range, 40.3-62.4 kg/m 2). The operations were successful in 9 out of 10 patients with median operative time of 195 minutes (range, 125-275 minutes). One patient with a BMI of 62.4 had a failed operation due to poor operative exposure from a very large left lobe of the liver. None of the remaining patients required conversion to the opened technique. The mean hospital stay was 4 days with no perioperative mortality. There was no major post operative complication except one minor wound infection. The excess weight loss was within the range of 33.5% to 62.1% during the short-term follow-up (range, 1-15months) Conclusion: The presented early preliminary result of the laparoscopic Swedish adjustable gastric banding showed a good technical success with a significant short-term weight loss. The authors believe this minimally invasive operation is appropriate for morbidly obese Thai patient. However, a longer follow-up study is needed.