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[Laparoscopic gastric banding using a modified gastric band with loops and a microport system. A report on 25 cases].

INTRODUCTION
The laparoscopic application of an adjustable silicone gastric band is an established procedure in the surgical treatment of pathologic adiposity.


PATIENTS AND METHODS
Twenty-five patients with morbid obesity underwent the laparoscopic application of a gastric band between November 1998 and June 2000. A modified band (GastroBelt II) was used.


RESULTS
Early and late complications were rare in comparison with previous procedures. Complications, which often require surgical intervention, such as slipping of the stomach (8-12%) or pouch dilatation (2-4%), were not observed. The total morbidity rate and mortality rate were both 0%.


CONCLUSION
Critical selection of the patients before the operation and appropriate compliance produced an average loss of weight of 7% of the overweight at 6 weeks, 20% at 3 months and 28% at 6 months after the operation. Preconditions for this operation are a coordinated operation team and a clearly defined standardized postoperative care concept.