Thursday, November 11, 2010

Advantages of the LAP-BAND(R)-Prozedur on Laparoscopic gastric bypass according to five year of morbidly obese

Interesting study compare stomach bypass operations (RNY) and Lap Band. Click on the following for more information about Gastric bypass in Mexico, India or round band in Mexico

LAP-BAND(R) system is less invasive, risky as Laparoscopic gastric bypass surgery, according to a five year study the two most common weight-loss surgery method to compare less seriously overweight at the this year's American society for Bariatric Surgery meeting of Emma Paterson, M.D., lead investigator of the study and Director of the Oregon weight loss surgery, presented LLC (Portland, OR).

"" This was one of the first comparative studies conducted by a single institution LAP BAND and Laparoscopic gastric bypass patients, ", said Dr. Patterson."It is significant to note that at the five-year mark it no difference in the weight loss is results between the LAP-BAND and Laparoscopic gastric bypass patients, the stomach bypass has a much greater risk of operative complications."The study is an extension of a three-year study, legacy health system two years ago published performed.

The study concludes:

-Patients have shorter operating time, less blood loss LAP BAND and shorter hospital stay compared with Laparoscopic gastric bypass patients

-LAP BAND is less invasive with less perioperative risk for the patient

-LAP BAND patients decreased complication rates

Further results of the study show that patients with Laparoscopic gastric bypass was statistically significantly greater weight loss up to 4 years, but at age 5, there was no statistical difference in % excess weight loss between Laparoscopic gastric bypass and LAP BAND.

The study also came to the conclusion that Laparoscopic gastric bypass patients had more major complications than patients, the LAP-BAND (10% vs. 5% or).This observation was from the finding in the 3 year report where no significant difference in major complications between Laparoscopic gastric bypass and LAP BAND appeared patients.

"Bariatric Surgery remains such as morbid obesity a global health problem remains the weight loss for this patient group, the only viable, uniform form.""With the LAP-BAND system, there is now a safer, less invasive and more acceptable surgical option for patients who suffer from the emotional and physical impact of seriously overweight," added Dr. Patterson.

STUDY METHODOLOGY

The study compared a continuous series of patients, the LAP BAND (406) and LRYGB (492) for morbid obesity over a five year period in a single institution most patients were unterzogen.Die located between the LAP-BAND and the Laparoscopic gastric bypass procedure to choose unless you were high risk (higher age, sex, male, super super obesity ((BMI_groesser_als_oder_gleich_60_kg/m2)) and serious cardiopulmonary disease) .all patients age, gender, BMI, complications, mortality and excess weight loss (EWL) were untersucht.Die LAP BAND Group had a higher average preoperative BMI and the LAP-BAND Group had more patients with BMI greater than or equal to 60 kg / m2 (14 to 9%; P)<>

All patients underwent preoperative evaluation by a psychologist, nutritionists, sleep study and laboratory evaluation of the legacy Samaritan obesity were Institut.Vor surgery patients, maintain a low-fat, low-carbohydrate diet and encouraged to lose at least 5% of their original body weight.

Postoperatively, patients were seen in three to six weeks per month for the first six months, bi-monthly for the next six months, every three months for the second year, LAP-BAND and then annually danach.LRYGB patients were seen three weeks after the operation, then every three months during the first year, every six months during the second year, and thereafter annually.


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