Dargent Jerome
Polyclinique Lyon-Nord, 65 rue des Contamines,, 69140, Rillieux-la-pape, France.
Obes Surg. 2017 Aug;27(8):1914-1916. doi: 10.1007/s11695-017-2710-x.
The laparoscopic adjustable gastric banding (LAGB) procedure has been used in bariatric surgery for over 20 years, and despite its initial success, it has been most often criticized for causing adverse effects, lacking efficacy, and frequently requiring revision. Evidence-based medicine supports these criticisms, and the LAGB is no longer considered by most bariatric surgeons worldwide to be a standard operation. While we have to admit that its associated food tolerance issues and variable efficacy make the LAGB less desirable for most patients, time will tell whether the current armamentarium of bariatric procedures are still too aggressive and new safer procedures still need to be developed.
腹腔镜可调节胃束带术（LAGB）已在减肥手术中应用了20多年，尽管它最初取得了成功，但它经常因引起不良反应、缺乏疗效以及频繁需要翻修而受到批评。循证医学支持这些批评，全球大多数减肥外科医生不再认为LAGB是一种标准手术。虽然我们不得不承认，其相关的食物耐受性问题和疗效差异使LAGB对大多数患者来说不那么理想，但时间会证明目前的减肥手术手段是否仍然过于激进，是否仍需要开发新的更安全的手术。
