10 research outputs found
Laparoscopic Intraoperative Biliary Ultrasonography: Findings During Laparoscopic Cholecystectomy for Acute Disease
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Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese
No full textPreliminary Experience and Development of an Algorithm for the Optimal Use of the Laparoscopic Component Separation Technique for Myofascial Advancement During Ventral Incisional Hernia Repair
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Laparoscopic Surgery Performed Through a Single Incision: A Systematic Review of the Current Literature
No full textTranscervical videoscopic esophageal dissection during two-field minimally invasive esophagectomy: early patient experience
No full textQuality of life after sleeve gastrectomy and adjustable gastric banding
No full textAbstract Background: With the addition of laparoscopic vertical sleeve gastrectomy (SG) to the bariatric surgery procedural toolkit, patients desiring a restrictive bariatric procedure often choose between adjustable gastric banding (LAGB) and SG. One study compared quality of life after these 2 procedures and found no difference. The purpose of our study was to re-evaluate the postoperative quality of life in LAGB and SG patients at a military teaching hospital in the United States. Methods: A retrospective review of 108 consecutive laparoscopic restrictive bariatric procedures performed within 15 months at a Department of Defense hospital was conducted. Of these 108 patients, 69 had undergone laparoscopic vertical SG and 39 LAGB. A validated quality of life questionnaire (Bariatric Quality of Life) was conducted a mean of 9.3 Ϯ 3.2 months (range 5-16) postoperatively. The weight loss and standard laboratory parameters were measured at 0, 1, 3, 6, and 12 months. Results: The quality of life assessment revealed significantly better scores after SG than after LAGB (66.5 versus 57.9, P ϭ .0002). The excess weight loss and excess body mass index loss at 3, 6, and 12 months postoperatively were significantly greater in the laparoscopic SG group. The patients demonstrated a clear preference over time for SG once it was offered. Conclusion: Early postoperative quality of life was superior after SG than after LAGB. SG also resulted in superior early excess weight loss. In a practice not constrained by reimbursement, these findings were associated with increased patient choice of SG after it began to be offered. (Surg Obes Relat Dis 2012;8:31-40.
