Literature review of comparative studies of complications with Swedish band and Lap-Band
Language English Country United States Media print
Document type Comparative Study, Journal Article, Meta-Analysis
- MeSH
- Time Factors MeSH
- Adult MeSH
- Gastroplasty adverse effects instrumentation MeSH
- Body Mass Index MeSH
- Laparoscopy * MeSH
- Humans MeSH
- Postoperative Complications * MeSH
- Prospective Studies MeSH
- Retrospective Studies MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Meta-Analysis MeSH
- Comparative Study MeSH
BACKGROUND: Gastric restriction is a treatment option for morbid obesity. Currently there are several types of adjustable gastric bands available, with two leading but conceptionally different systems, not just from a technical point of view but also from the long-term complication rates. METHODS: A literature search of articles published from January 1997 to December 2002 dealing with prospective or restrospective studies comparing results of treatment with the Swedish band and Lap-Band was carried out. RESULTS: 7 comparative studies fulfilled inclusion criteria, with a total of 1031 patients in the Swedish band (41-597) and 1305 patients in the Lap-band groups (34-821). Pouch dilatation/slippage and/or erosion in Swedish vs Lap-band were reported in the studies as follows: 1 vs 2 in study group 1, 0 vs 9 in study group 2, 0 vs 3 in 3, 3 vs 38 in 4, 0 vs 64 (slippages) and 4 vs 4 (erosions) in group 5. In study 6, 3 vs 3 dilatations and 0 vs 1 erosions were reported. Study 7 found 12 vs 42 long-term complications of this origin. Port-site infections, total reoperation rates and length of hospital stay were also compared. CONCLUSION: The results of this meta-analysis reveal that fall in BMI is similar with both laparoscopic bands. Long-term complication rates, despite the fact that they have been defined in a similar way in all the included studies, may be higher with more reoperation rates in Lap-band(R) patients.
References provided by Crossref.org
Interdisciplinary European guidelines on metabolic and bariatric surgery
Interdisciplinary European Guidelines on metabolic and bariatric surgery
Interdisciplinary European guidelines on surgery of severe obesity
Interdisciplinary European guidelines for surgery for severe (morbid) obesity