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Gastric bands for obesity may help masses recede weighting , but patients often experience problems with the machine eld after they ’ve had the routine , a young study find .
Nearly 40 percent of patients in the subject area had some character of major complication with their circle 12 or more year after they had the surgical operation . Major complications include things like infection or corroding of the banding . About half the affected role had to have the band taken out , and 60 percent required extra surgery .
The findings paint a picture gastric bands are not the answer to theobesity epidemic , the researcher say .
" Hopefully … multitude realize that the circle is not the key to the problem ofobesity , it ’s not the solution , " allege sketch researcher Dr. Jacques Himpens , of the European School of Laparoscopic Surgery in Belgium . While Himpens says that the procedure can still be performed , research worker should appear for more efficient , less invasive alternatives , he said .
" It ’s middling sobering what they ’ve described in their survey , " said Dr. Thomas Inge , a paediatric operating surgeon at Cincinnati Children ’s Hospital Medical Center . The determination are moderately consistent with those of early studies that show the band has a great deal of problem in the long full term , Inge said . " Every class , you pile up more peril of complication , " he said .
Others argue that the issue , while concerning , may not be applicable to patients in the United States today .
" evidently anything that shows that 50 percent of patient down the road might have a serious problem is very worry , " said Dr. Sunil Bhoyrul , a bariatric operating surgeon at Scripps Memorial Hospital in La Jolla , Calif. But " I ’m not certain the paper is relevant to a twenty-first century American drill , " Bhoyrul say .
The technique , as well as the mathematical product used in the study , are both outdated , he enounce . And the way the data was collected makes it subject to prejudice .
Bhoyrul notify that patient role " figure out with surgeons who do a spate of these operations , " or more than 125 a year . Doctors who do n’t do a muckle of these procedures may not habituate the most modern surgical techniques and may not watch up their patients as much as is needed .
Gastric band
The discipline involved 151 patients who underwentlaparoscopic adjustable gastric bandingbetween Jan. 1 , 1994 , and Dec. 31 , 1997 , at the squad ’s obesity center in Brussels , Belgium . This procedure involve placing a silicone banding around the top part of thestomachto restrict the amount of nutrient it can hold . discipline have showngastric bandingis dependable than gastric ringway surgery , meaning few thing go wrong during the operation .
At the end of 2009 , the researchers were capable to keep up up with 82 patients .
Twenty - two percent of patient live modest complications , or technical problems that can normally be treated without requiring the patient to stay in the hospital . Thirty - nine percent of patient know major complications , include 28 percentage who experienced band wearing away . intimately 50 percent of patients lost their lot within nine class . Most who had their banding removed did not get another one put back in , Himpens say .
Despite these frequent complication , the majority of patients were slaked with their procedure — only 20 percent said they were disgruntled . Those who still had their band in place lost 48 per centum of their redundant system of weights .
Surgeons who do perform the process have to persuade their patients to come back frequently for follow up , Himpens said — every three month within the first yr and every six months after that . In the United States , physician typically see patients 10 times in the first twelvemonth , and four to five times in the 2d year , said Dr. Emma Patterson , a bariatric surgeon at Oregon Health & Science University .
Different techniques
" The band sure as shooting should not be discredited because it ’s the safe weighting - loss surgery , " Patterson say . Patterson is a consultant for Allergan Inc. , a pharmaceutical fellowship that relieve oneself stomachic bands . She note other studies have found more favorable result for stomachic banding .
In summation , " the way they did the process was an old - fashioned way , a manner in which we bonk does n’t work , " Bhoyrul enounce . Patterson agree that the findings are not generalizable to modern patient .
" This does not reflect what ’s happening today , " she say .
Himpens admit that the proficiency used to execute the surgery is not wide used any longer , but there are some physicians who still perform it . Even with the new operating theater , " unfortunately , I do n’t believe the outcome is that much better , " Himpens severalise MyHealthNewsDaily . But he contribute the eating away charge per unit would be abject with Modern bands .
" It ’s very difficult not to be studying history , " when you do these character of studies , Inge said . Though whether differences in technique are enough to reverse all of the problem patient saw in this field is a question that remains to be answered .
Inge would like to see studies showing the long - term result for patient in the United States . The researchers of such a study , funded by the National Institutes of Health , are being thirstily awaited , he tell .
The study was published online today ( March 21 ) in theArchives of Surgery .
Pass it on : Patients who receive gastric bands may frequently experience complication , though new techniques and products may be less subject to these problems .
