A systematic review of laparoscopic adjustable gastric banding in the treatment of obesity

Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
Record ID 32001000018
Authors' objectives:

The aim of the report is to systematically review the literature on assessing the safety and efficacy of laparoscopic adjustable gastric banding in treating obesity.

Authors' results and conclusions: There was little high-level evidence available and few comparative studies. Safety: Mortality rates were below 1 in 1000, which is less than the rates quoted in many reviews of other surgical procedures for treating obesity. Likewise, morbidity rates did not appear to exceed those quoted for other procedures. Efficacy: Most operations appear to be completed in under 2 hours. Most studies reported rates of conversion to open procedures of under 4%. Patients appear to be discharged earlier than those undergoing vertical banded gastroplasty, and also appear to become more mobile and independent after surgery, although initially positive responses to the surgery tend to diminish with time. The laparoscopic adjustable gastric band appears capable of producing substantial weight loss up to 4 years, although longer-term data has not been published. The consistency of weight loss across the patient population is also unclear due to poor reporting of variance in most studies.
Authors' recomendations: The ASERNIP-S review group recommended a classification of 2: 'The safety and/or efficacy of the procedure cannot be determined at present due to an evidence base of incomplete and/or poor quality. It is recommended that further research be conducted to establish safety and/or efficacy'.
Authors' methods: Review
Project Status: Completed
Year Published: 2000
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Gastroplasty
  • Weight Loss
  • Obesity
  • Obesity, Morbid
Organisation Name: Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address: ASERNIP-S PO Box 553, Stepney SA 5069 Australia Tel: +61 8 8363 7513; Fax: +61 8 8362 2077;
Contact Name: college.asernip@surgeons.org
Contact Email: college.asernip@surgeons.org
Copyright: Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.