Evaluating results of laparoscopic gastric banding surgery to manage the obesity at Viet Duc University Hospital

Introduction: Obesity is an increasing trends in Vietnam. Laparoscopic gastric band is an option to manage this problem. The aim of study is to evaluate the result of laparoscopic gastric banding for treatment of obesity in Viet Duc University Hospital Material and Methods: An uncontrolled interventional clinical trial in 71 patients underwent laparoscopic gastric banding from May 2007 to July 2017 Results: 71 patients underwent laparoscopic gastric banding enrolled in this series. Of them, prophylactic antibiotics including cefazolin was in 87.3% and cefuroxime in 12.7%. The successful rate of procedure was 100%. All patients were placed with 4 trocars. 59,2% of patients were fixed with 3 stitches to the front of stomach and 40,8% were fixed by 4 stitches to front of stomach. The postoperative complications for band migration was 1,4%. No deaths neither complications such as perforation of the esophagus and stomach were observed. Conclusion: The study found that prophylactic antibiotic is necessary, however the dosage is not needed to increase in obesity patients. The intraabdominal pressure is higher than conventional laparoscopic surgery, but it does not affect blood pressure as well as cardiovascular system. 4 trocars placed is good enough. The band needs to be fixed in order to avoid the postoperative migration. Keywords: Obesity, laparoscopic gastric banding

Surgical Correction Late Postoperative Complications in Patients with Bondarovna Stomach (Clinical Observations)

The work is devoted to one of the methods of surgical correction of obesity, namely, laparoscopic gastric banding. The history of development of this method of treatment of patients with obesity is briefly given. Three clinical observations of postoperative complications after gastric banding in obese patients are presented. In two cases, gastric banding surgery was performed by an unregulated bandage, and in one case - by a regulated one. Observed complications: displacement of the band on the abdominal esophagus, a sharp narrowing of the belt of the gastric cardia and the sore bondage of the stomach wall. The authors note that despite the ease of installation of the bandage, the relative safety of the operation, this method of surgical correction of obesity can be accompanied by various complications. Statistics 5-10 years of observation of patients shows that almost 50% of patients are operated on for one reason or another. The most common reason for the surgery is dissatisfaction with the results and comfort of food. Among all patients operated on for obesity the lowest percentage of satisfied with the result - in bandaged patients. In modern bariatrics, the authors consider gastric banding surgery as an outdated method that has long lost its leadership in the structure of surgical interventions.