World Journal of Laparoscopic Surgery

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VOLUME 2 , ISSUE 1 ( January-April, 2009 ) > List of Articles


Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Emmanuel E Akpo

Citation Information : Akpo EE. Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy. World J Lap Surg 2009; 2 (1):30-34.

DOI: 10.5005/jp-journals-10007-1009

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2009; The Author(s).


Background and purpose

Obesity now forms one of the leading public health concerns globally. Several surgical options including sleeve gastrectomy exist for its treatment. Recently, laparoscopic gastric banding has been developed with the aim of providing a laparoscopically placed device that is safe and effective in generating substantial weight loss. The goal of this review is to compare the effectiveness and safety of laparoscopic adjustable silicon gastric banding (LASGB) and laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity by reviewing the methods of patient selection, operative time, conversion rate, complications, blood loss, postoperative morbidity and mortality, hospital stay, and quality of life.

Material and methods

A systematic literature search was performed using Highwire press, Springer link, Medline, Medscape and Google, and article bibliographies to identify relevant evidence. Included studies must have reported outcome data for more than 40 patients aged 20 years and above with a minimum of one 1-year follow-up. The operating time, complications, blood loss, hospital stay, morbidity and mortality, and quality of life were reviewed.


The total number of patients enrolled was 4,519; the specific procedure totals were 3,714 for LAGB and 805 for LSG. The age range of the population studied was 13-79 years for LSG and 18-65 years for LAGB. The sex distribution had a male:female ratio of 1:4 for LAGB and 1:3 for LSG. The overall complication rate in this review varied from 1.7-11. 80% for LSG and 0.2-24% for LAGB.


Laparoscopic sleeve gastrectomy though, forms a safe surgical option for weight loss treatment particularly in the veryvery- obese patients (BMI > 60 kg/m2). LASGB gives satisfactory results and coupled with reversibility and low cost, it is an important tool in the long-term management of patients with morbid obesity.

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  1. The costs, effects and costeffectiveness of counteracting overweight on a population level. A scientific base for policy targets for the Dutch national plan. Preventive medicine 2007;46(2):127-32.
  2. State-specific prevalence of obesity among adults – United States, 2005. MMWR Morb Mortal Wkly Rep 2006;55:985-88.
  3. Prevalence of overweight and obesity in the United States 1999-2004. JAMA 2006;295:1549-55.
  4. A potential decline in life expectancy in the United States in the 21st century. N Engl J Med 2005;352:1138-45.
  5. Health ramifications of the obesity epidemic. Surg Clin North Am 2005;85:681-701.
  6. Correction: Actual causes of death in the United States 2000. JAMA 2005;293:293-94.
  7. Obesity. Lancet 2005;366:1197-1209.
  8. Prevention Conference VII: Obesity, A worldwide epidemic related to heart disease and stroke: Group I: worldwide demographics of obesity. Circulation 2004;110:e463–e470.
  9. Overweight and obesity; recommendations from the National Health Council. Nederlands Tijdschrift Voor Geneeskunde 2003;147:1847-51.
  10. The continuing epidemics of obesity and diabetes in the United States. Journal of the American Medical Association 2001;286:1195-200.
  11. Survival advantage with bariatric surgery: Report from the 10th International Congress on Obesity. Surg Obes Relat Dis 2006;2:585-86.
  12. Indications for Sleeve Gastrectomy as a Primary Procedure for Weight Loss in the Morbidly Obese Journal of Gastrointestinal Surgery 2008;12:662-67.
  13. The “Birmingham stitch”—Avoiding Slippage in Laparoscopic Gastric Banding. Obesity Surgery 2008;18:359-63.
  14. Laparoscopic Sleeve Gastrectomy: Surgical Technique, Indications and Clinical Results Obesity Surgery 2007;17:1442-50.
  15. Sleeve Gastrectomy: A Restrictive Procedure Obesity Surgery 2007;17: Sleeve Gastrectomy: A Restrictive Procedure? Obesity Surgery 2007;17:57-62.
  16. Laparoscopic Sleeve Gastrectomy as Treatment for Morbid Obesity: Technique and Short-term Outcome. Laparoscopic Sleeve Gastrectomy as Treatment for Morbid Obesity: Technique and Short-term Outcome. Obesity Surgery 2006;16:1323-26.
  17. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg 2007;17(10):1297-305.
  18. A Prospective Randomized Study Between Laparoscopic Gastric Banding and Laparoscopic Isolated Sleeve Gastrectomy: Results after 1 and 3 Years. Obesity Surgery 2006;16:1450-56.
  19. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg 2008 May;18(5):560-65. Obesity Surgery 2006; 16: 1450-56.
  20. Outcome after Laparoscopic Adjustable Gastric Banding – 8 Years Experience. Obesity Surgery 2003;13:427-34.
  21. Laparoscopic Gastric Banding: A Minimally Invasive Surgical Treatment for Morbid Obesity. Ann Surg 2003;237(1):1-9.
  22. Midterm Results of Primary vs. Secondary Laparoscopic Sleeve Gastrectomy (LSG) as an Isolated Operation. Obes Surg 2009 Jan 24. [Epub ahead of print].
  23. Results of laparoscopic sleeve gastrectomy: A prospective study in 135 patients with morbid obesity Surgery 2009 Jan;145(1):106-13. Epub 2008 Sep 30.
  24. Complications after Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Experience with 1,000 Patients over 7 Years. Obesity Surgery 2004;14:407-14.
  25. Diabetes Care 2002;25(2):358-63.
  26. Bariatric surgery: Quick fix or longterm solution? N Engl J Med 2004;351:2751-53.
  27. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004;351:2683-93
  28. Trends in bariatric surgical procedures. Journal of the American Medical Association 2005;294:1909-17.
  29. Bariatric surgery and long-term control of morbid obesity. JAMA 2002;288:2793-96.
  30. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: A randomized trial. Annals of Internal Medicine 2006;144:625-33.
  31. Surgical management of morbid obesity. Diabetes Care 2005;28:475-80.
  32. Consensus conference statement bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third party payers. Journal of the American College of Surgeons 2004;200:593-604.
  33. Obesity surgery: evidence-based guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc 2005;19:200-21.
  34. Effects of bariatric surgery in older patients. Ann Surg 2004;240:243-47.
  35. Laparoscopic gastric bypass beyond age 60. Obes Surg 2004;14:1398-401.
  36. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc 2006;20:859-63.
  37. Recommendations for reporting weight loss. Obes Surg 2003;13:159-60.
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