complications associated with laparoscopic adjustable gastric banding for morbid obesity
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Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity. Dr. Mojtaba Hashemzadeh Dr. Leila Zahedi-Shoolami Dr. Mahmoud KaramiRad. 2012, May 9 th. Definition of Obesity. BMI ≥ 30 Excess weight more than 20\% of Ideal Body Weight. Epidemiology of Obesity.

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complications associated with laparoscopic adjustable gastric banding for morbid obesity

Complications Associated with Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Dr. MojtabaHashemzadeh

Dr. Leila Zahedi-Shoolami

Dr. MahmoudKaramiRad

2012, May 9th

definition of obesity
Definition of Obesity
  • BMI ≥ 30
  • Excess weight more than 20% of Ideal Body Weight
epidemiology of obesity
Epidemiology of Obesity

Worldwide

Iran

WHO report 2011

Overweight 51.4%

Obese 19.4%

WHO report 2010

35% of the world population

gastric banding benefits
Gastric Banding Benefits
  • Performed through Laparoscopy
  • Short surgery duration
  • Short clinic stay
  • Being adjustable
  • Safe with low complication rate
  • The most favorable technique for obesity treatment in the United States
methods patients
Methods & Patients
  • Time: January 2005 - February 2012
  • Setting: A single private setting in Tehran, Iran
  • Sample Size:165 obese patients with BMI between 32 and 50 kg/m2
late gastric banding complications
Late Gastric Banding Complications
  • Port Infection
    • Prior to adjusting (< 1 month):
      • Sterility problems
    • Post adjusting (> 1 month):
      • Erosion
      • Unsterile injection
  • Slippage
  • Erosion
  • Opening of the gastric band clips
  • Pouch Enlargement
  • Acute obstruction due to band connection tube
slide23
Before LAGB

After LAGB

what to do in order to decrease the complication rate
What to do in order to decrease the complication rate?
  • Proper case-selection
  • Considering the sterility principles
  • Changing eating habits in patients
  • Avoiding vomiting
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