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Doherty C, Maher JW, Heitshusen DS

An interval report on prospective investigation of adjustable

silicone gastric banding devices for the treatment of severe obesity.

Eur J Gastroenterol Hepatol (England), Feb 1999, 11(2) p115-9

A review and updated report of an ongoing prospective investigation

of two different adjustable silicone gastric banding devices is

presented. One cohort of this study includes 40 subjects who have had

a band placed by laparotomy. A second cohort includes 22 subjects who

have had a newly designed adjustable silicone gastric band (ASGB)

placed by laparoscopic or open technique. The goal of this

investigation is to evaluate the achievement of sustained weight loss

without the need for re-operation. Because of the frequent need for

re-operation to correct life-threatening complications or

ineffectiveness of ASGB devices, present clinical data indicate that

improvements to the implantable system and the operative technique

need to be made and verified by long-term study. At this point in

development, ASGB remains an investigative procedure that has not

fulfilled the scientific requirements of an accepted surgical

treatment for severe obesity.

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