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Obesity Surgery: Principles and Practice
Chapter 31. Restrictive Procedures: Adjustable Gastric Band
Sections: Background, Other Adjustable Gastric Bands, Introduction, Advantages and Disadvantages of the Laparoscopic Banding Systems, Complications of Lap-Band, Reoperations, Discussion and Conclusion, References.
Topics Discussed: gastric band placement; laparoscopic adjustable gastric banding; laparoscopic gastric restriction and bypass; repeat surgery.
Excerpt:
"In its early days, bariatric surgery proved it could generate effective weight loss.1,2 Conventional laparotomic surgery, however, presented a greater risk of morbidity and mortality in severely obese patients.1,3 Then, with the laparoscopic explosion, came the challenge: Laparoscopy created the hope of a minimally invasive solution to these at-risk patients but laparoscopic surgery was still considered a contraindication for this group of patients due to a deep operative field, massive visceral fat, hypertrophic and steatotic liver, and inadequate instrumentation. So, the challenge—and the opportunity—became overcoming the technical difficulties to create a surgical treatment that would be both effective and safe...."
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