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- W2131210439 abstract "Laparoscopic Surgical Techniques in Morbid Obesity: According to the WHO obesity and obesity with associated morbidity constitute a chronic, multi-factorial condition requiring treatment. Conservative treatment has been shown in long-term studies to be ineffective in morbid obesity. Surgical treatments break down into restrictive, malabsorptive, combined restrictive and malabsorptive or motility-reducing procedures. Laparoscopic implantation of an adjustable gastric band is an efficient restrictive method for treating the majority of patients with this condition. The adjustable gastric band enables weight loss and food intake to be adapted to the individual patient’s needs. 80–90 % of these patients can expect to lose 60– 70 % of their excess weight. Vertical gastroplasty with banding is losing ground among the restrictive options. Gastric bypass is gaining ground in Europe. This operation is estimated to give 80 % excess weight loss and provide better quality of life than restrictive procedures. Intra-gastric stimulation is the least invasive surgical procedure at present. However, the excess weight loss is lowest with this method at only 32 % in the first two years after the operation. Provided safety recommendations are observed, operations for obesity are fairly low-risk. The mortality rate in centres with experienced staff is less than 0.3 %. The death rate due to untreated morbid obesity is significantly higher than in a comparable group of patients after surgery. The laparoscopic implantation of an adjustable gastric band and intragastric stimulation are relatively safe surgical procedures for the treatment of morbid obesity. The gastric bypass is a very effective malabsorptive method, but it should be kept to a small number of experienced centres. J Ernahrungsmed 2003; 5 (3): 5–11" @default.
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- W2131210439 date "2003-09-17" @default.
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- W2131210439 title "Laparoskopische Operationsverfahren bei morbider Adipositas" @default.
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