Laparoscopic Adjustable Gastric Banding: Technique
The laparoscopic adjustable gastric band (LAGB) was introduced in the early 1990s as a product of the rapid development of complex laparoscopic procedures after the introduction of laparoscopic cholecystectomy in 1989. The original concept of an adjustable gastric band had been developed by Szinicz and Schnapka (1) at Innsbruck, Austria in 1982. They placed a Silastic band around the upper stomach of the rabbit. An inner balloon was expanded by the injection of saline into a subcutaneous port. This original concept was used in a clinical application by Dr. Lubomyr Kusmak of New Jersey in 1986 as the adjustable silicone gastric band (ASGB) and reports of its use had been published (2). Its principal attribute of adjustability of the degree of gastric restriction was not generally recognized as a benefit in comparison with vertical banded gastroplasty, Roux-en-Y gastric bypass, and biliopancreatic diversion, which were the open surgical procedures popular at that time.
KeywordsGastric Band Laparoscopic Adjustable Gastric Band Gastric Wall Port Placement Cleveland Clinic Foundation
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- 1.Szinicz G, Schnapka G. A new method in the surgical treatment of disease. Acta Chir Aust 1982;suppl 43.Google Scholar