RESULTS OF ADJUSTABLE SILICON GASTRIC BANDING IN TREATMENT OF MORBID OBESITY

Abstract

In this study we tried to show how efficient adjustable silicon gastric banding is effective in morbid obese patients. This study included 25 patients who had adjustable silicon gastric banding operation for morbid obesity in General Surgery Department of Istanbul University during January 1997-1999. All the patients have been investigated and treated by Endocrinology and Metabolism Department and have been showed as a candidate for surgery by the American Society of Bariatric Surgery criterias. The most useful parameter in definition success is the meaningful change in body mass index of the patients' postoperative controls. Mean BMI of the patients which was 48.2 preoperatively, had decreased to 43.6 in the 3rd month; 39.4 in the 6th month; and 35.64 in the 12th month. After surgical treatment diseases (DM, hypertension, sleep apne syndrome, chronic obstructive lung diseases) which accompanies obesity are recovering. In the early period after the treatment we saw nausea and vomiting in 5 patients, wound infection in 5 patients, gastric fistul in 2 patients and Wernicke's encephalopathy in one patient. In the late period we saw gastric band migration in 2 patients, one rezervoir infection and incisional hernia in one patient. Adjustable silicon gastric banding is easy to tolerate and a good choice for morbid obese patients which has the minimal metabolic complications.