Obesity is dramatically increasing in incidence in the Western world.
In the UK 17% of the population is obese. The annual healthcare
costs arising directly from obesity are at least £2bn in the UK
and £45bn in the USA. Long term loss of weight is usually not achieved
by dietary measures alone, nor by behavioural therapy. Successive
failure to lose weight causes enormous psychological problems. A
surgical solution is therefore indicated.
surgery has evolved over the past decade as the treatment of choice
for morbid obesity. The LAP-BAND® Adjustable Gastric Banding System
is designed to induce weight loss in obese patients by limiting
food consumption (Bioenterics).
placement of this band combines the advantage of a non-invasive
gastroplasty with the advantages of keyhole surgery. The LAP-BAND®
divides the stomach into a small proximal pouch and a large distal
The inner surface
of the band is inflatable and connected by a tubing to an access
port which is implanted in the abdominal wall. This permits post
operative percutaneous stoma size adjustment. The small proximal
pouch acts as the new stomach and a feeling of satiety is reached
after ingestion of only a small amount of food (15ml).
The major prerequisite
of satisfactory performance of this technically demanding procedure
is laparoscopic experience.