The laparoscopically placed adjustable gastric band (AGB) is safe and effective in severe obesity, according to the results of two studies reported in the January issue of the Annals of Surgery. However, the editorialist is less enthusiastic and suggests that the more traditional Roux-en-Y procedure is still the best.
“Laparoscopic AGB is considered the least invasive surgical option for morbid obesity,” write Franck Zinzindohoue, MD, and colleagues from Hopital Europeen G. Pompidou in Paris, France. “It is effective, with an average loss of 50% of excessive weight after two years of follow-up. It is potentially reversible and safe; major morbidity is low and there is no mortality.”





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