[Treatment of morbid obesity by adjustable silicone gastric banding. A new surgical technique of gastroplasty for obesity].

Among the various procedures used for surgical treatment of morbid obesity, the adjustable silicone gastric banding is in full development. It is also a gastric restrictive procedure and in addition it enables to adjust percutaneously the size of the stoma by inflating or deflating the inflatable portion of the band via an injection reservoir placed within the rectus sheath. In a small serie of 15 patients the efficacity of adjustable silicone gastric banding seems to be similar to that of the vertical banded gastroplasty, as far as weight reduction and improvement in the obesity associated comorbidity are concerned. In addition, this technique has two major advantages: absence of failure from staple line disruption, and a good food tolerance because the stoma size is adjustable to the patient's need. In contrast to other gastroplasties, the adjustable silicone gastric banding procedure is fully reversible after cutting the prothesis, and can be done under laparoscopy.