Furbetta Niccolò, Cervelli Rosa, Furbetta Francesco
General Surgery, Department of Surgery, University of Pisa, Pisa, Italy.
Diagnostic and Interventional Radiology, University of Pisa, Pisa, Italy.
Ann Transl Med. 2020 Mar;8(Suppl 1):S4. doi: 10.21037/atm.2019.09.17.
The laparoscopic implantation of an adjustable gastric banding (LAGB) was first described in 1993. Thereafter, the LAGB underwent to a lot of modifications, revision and refinements to become as it is currently defined. This procedure quickly became one of the most common bariatric surgical operations in the world in the first decade of the 2000s but, over the last few years, it has turned into the fourth more common procedure. A series of more or less clear reasons, led to this decrease of LAGB. The knowledge of the history of the LAGB, of its evolution over the years and its limitations can be the key-point to recognize the reasons that are leading to its decline. The adjustability and the absolute reversibility characteristic of LAGB, make this surgical procedure a "bridge treatment" to allow the specific goal of eradicating obesity.
可调节胃束带的腹腔镜植入术（LAGB）于1993年首次被描述。此后，LAGB经历了多次修改、修正和完善，才成为目前所定义的那样。在21世纪的第一个十年里，该手术迅速成为世界上最常见的减肥手术之一，但在过去几年里，它已变成第四常见的手术。一系列或多或少明确的原因导致了LAGB的这种减少。了解LAGB的历史、其多年来的演变及其局限性，可能是认识导致其衰落原因的关键点。LAGB的可调节性和绝对可逆性特征，使这种手术成为一种“过渡治疗”，以实现根除肥胖的特定目标。
