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2. The Italian Group for LAP-BAND: predictive value of initial body mass index for weight loss after 5 years of follow-up

Author

Angrisani, L., Lorenzo, N. Di, Favretti, F., Furbetta, F., Iuppa, A., Doldi, S. B., Paganelli, M., Basso, N., Lucchese, M., Zappa, M., Lesti, G., Capizzi, F. D., Giardiello, C., Paganini, A., Cosmo, L. Di, Veneziani, A., Lacitignola, S., Silecchia, G., Alkilani, M., Forestieri, P., Puglisi, F., Gardinazzi, A., Toppino, M., Campanile, F., Marzano, B., Bernante, P., Perrotta, G., Borrelli, V., Lorenzo, M., and Italian Collaborative Study Group for LAP-BAND

Published
2004
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3. Italian Group for Lap-Band System®: Results of Multicenter Study on Patients with BMI ≤35 kg/m2

Author

Angrisani, L, Favretti, F, Furbetta, F, Iuppa, A, Doldi, S B, Paganelli, M, Basso, N, Lucchese, M, Zappa, M, Lesti, G, Capizzi, F D, Giardiello, C, Di Lorenzo, N, Paganini, A, Di Cosmo, L, Veneziani, A, Lacitignola, S, Silecchia, G, Alkilani, M, Forestieri, P, Puglisi, F, Gardinazzi, A, Toppino, M, Campanile, F, Marzano, B, Bernante, P, Perrotta, G, Borrelli, V, and Lorenzo, M

Published
2004
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4. Lap Band® adjustable gastric banding system

Author

Angrisani, L., Furbetta, F., Doldi, S.B., Basso, N., Lucchese, M., Giacomelli, F., Zappa, M., Cosmo, L., Veneziani, A., Turicchia, G.U., Alkilani, M., Forestieri, P., Lesti, G., Puglisi, F., Toppino, M., Campanile, F., Capizzi, F.D., D'Atri, C., Sciptoni, L., Giardiello, C., Lorenzo, N., Lacitignola, S., Belvederesi, N., Marzano, B., Bernate, P., Iuppa, A., Borrelli, V., and Lorenzo, M.

Published
2003
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5. Results of the Italian Multicenter Study on 239 Super-obese Patients Treated by Adjustable Gastric Banding

Author

Angrisani, L, Furbetta, F, Doldi, S B, Basso, N, Lucchese, M, Giacomelli, M, Zappa, M, Di Cosmo, L, Veneziani, A, Turicchia, G U, Alkilani, M, Forestieri, P, Lesti, G, Puglisi, F, Toppino, M, Campanile, F, Capizzi, F D, D'Atri, C, Scipioni, L, Giardiello, C, Di Lorenzo, N, Lacitignola, S, Belvederesi, M, Marzano, B, Bernante, P, Iuppa, A, Borrelli, V, and Lorenzo, M

Published
2002
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6. Laparoscopic Italian Experience with the Lap-Band®

Author

Angrisani, L, Alkilani, M, Basso, N, Belvederesi, N, Campanile, F, Capizzi, F D, D'Atri, C, Di Cosmo, L, Doldi, S B, Favretti, F, Forestieri, P, Furbetta, F, Giacomelli, F, Giardiello, C, Iuppa, A, Lesti, G, Lucchese, M, Puglisi, F, Scipioni, L, Toppino, M, Turicchia, G U, Veneziani, A, Docimo, C, Borrelli, V, and Lorenzo, M

Published
2001
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8. Lap-Band System (R): The Italian multicentric experience in the last 10 years

Author

Lorenzo, Michele, Furbetta, F., Favretti, F., Angrisani, L., Micheletto, M., Lattuada, E., Paganelli, M., Lucchese, M., Basso, N., Capizzi, F. D., Cascardo, A., Di Lorenzo, N., Di Cosmo, L., Gardinazzi, A., Giardiello, C., Lesti, G., Veneziani, A., Puglisi, F., Alkilani, M., Forestieri, P., Iuppa, A., paolo bernante, Lorenzo, M, Furbetta, F, Favretti, F, Angrisani, Luigi, Micheletto, M, Lattuada, E, Paganelli, M, Lucchese, M, Basso, N, Capizzi, Fd, Cascardo, A, Di Lorenzo, N, Di Cosmo, L, Gardinazzi, A, Giardiello, C, Lesti, G, Veneziani, A, Puglisi, F, Alkilani, M, Forestieri, Pietro, Iuppa, A, and Bernante, P.

Published
2007

9. The Italian Group for LAP-BAND: predictive value of initial body mass index for weight loss after 5 years of follow-up

Author

ANGRISANI, LUIGI, FORESTIERI, PIETRO, Di Lorenzo N, Favretti F, Furbetta F, Iuppa A, Doldi SB, Paganelli M, Basso N, Lucchese M, Zappa M, Lesti G, Capizzi FD, Giardiello C, Paganini A, Di Cosmo L, Veneziani A, Lacitignola S, Silecchia G, Alkilani M, Puglisi F, Gardinazzi A, Toppino M, Campanile F, Marzano B, Bernante P, Perrotta G, Borrelli V, Lorenzo M, Italian Collaborative Study Group for LAP BAND, Angrisani, Luigi, Di Lorenzo, N, Favretti, F, Furbetta, F, Iuppa, A, Doldi, Sb, Paganelli, M, Basso, N, Lucchese, M, Zappa, M, Lesti, G, Capizzi, Fd, Giardiello, C, Paganini, A, Di Cosmo, L, Veneziani, A, Lacitignola, S, Silecchia, G, Alkilani, M, Forestieri, Pietro, Puglisi, F, Gardinazzi, A, Toppino, M, Campanile, F, Marzano, B, Bernante, P, Perrotta, G, Borrelli, V, Lorenzo, M, and Italian Collaborative Study Group for LAP, Band

Subjects
Adult, Male, medicine.medical_specialty, Time Factors, Adolescent, Group B, Body Mass Index, laparoscopic adjustable gastric banding, Predictive Value of Tests, Weight loss, Weight Loss, Humans, Medicine, Obesity, Aged, Retrospective Studies, obesity surgery, lap-band system, complications, weight loss, Bariatric surgery, Body volume index, business.industry, Middle Aged, medicine.disease, failure, Surgery, Settore MED/18 - Chirurgia Generale, Exact test, Female, Laparoscopy, medicine.symptom, business, Complication, Body mass index, Follow-Up Studies, Abdominal surgery
Abstract

Laparoscopic of the LAP-BAND System placement stage of obesity is a safe operation, but its indication in terms of stage of obesity is controversial. The aim of this study was to evaluate the 5 years stage of obesity results for weight loss in patients with varying preoperative ranges of body mass index (BMI).Data were obtained from the Italian Collaborative Study Group for LAP-BAND System (GILB) registry. Detailed information was collected on a specifically created database (MS Access 2000) for patients operated on in Italy from January 1996 to 2003. Patients operated on between January 1996 and December 1997 were allocated to four groups according to preoperative BMI range: 30-39.9 kg/m(2) (group A), 40-49.9 kg/m(2) (group B), 50-59.9 kg/m(2) (group C), and =60 kg/m(2) (group D) percent estimated weight loss respectively. Postoperative complications, mortality, BMI, BMI loss, and (%EWL) were considered in each group. Data are expressed as mean +/- SD, except as otherwise indicated. Statistical analysis was done by means of Fisher's exact test, and p0.05 was considered significant.After 5 years from LAP-BAND System surgery, 573 of 3,562 patients were eligible for the study. One hundred fifty-five of 573 (27.0%) were lost to follow-up, 24 of 418 (5.7%) underwent band removal due to complications (gastric pouch dilation, band erosion), eight of 418 (1.9%) were converted to other bariatric procedures, five of 418 (1.2%) died of causes not related to the operation or the band, and 381 of 573 (66.5%) were available for follow-up. Based on 96, 214, 64, and seven patients their preoperative BMI, Were allocated to groups A, B, C, and D, respectively. At time of follow-up mean BMI was 27.5 +/- 5.2 in group A, 31.6 +/- 4.7 in group B, 37.6 +/- 17.3 in group C, and 41.4 +/- 6.9 kg/m(2) in group D. Mean BMI loss was 9.8 +/- 5.4, 12.9 +/- 5.2, 15.8 +/- 8.1, and 23.2 +/- 4.9 kg/m(2), respectively, in groups A, B, C, and D. Mean %EWL at the same time was 54.6 +/- 32.3 in group A, 54.1 +/- 17.2 in group B, 51.6 +/- 35 in group C, and 59.l +/- 17.1 in group D.Initial BMI in this series did not correlate with %EWL 5 years after the operation. In fact %EWL was almost the same in each group, independent of preoperative weight. Initial BMI was an accurate indicator of the results obtained 5 years after LAP-BAND in group C (50-59.9 kg/m(2)) and D (=60 kg/m(2)) patients, who remained morbidly obese despite their %EWL.

Published
2004

10. Italian group for lap-band: Weight loss results at 5 and 7 years follow-up

Author

Angrisani, L., Favretti, F., Furbetta, F., Busetto, L., Doldi, Sb, Lattuada, E., Paganelli, M., Lucchese, M., Basso, N., Capizzi, Fd, Iuppa, A., Lesti, G., NICOLA DI LORENZO, Giardiello, C., Paganini, A., Di Cosmo, L., Veneziano, A., Lacitgnola, S., Alkilani, M., Forestieri, P., Toppino, M., Gardinazzi, A., Puglisi, F., Cascardo, A., Bernante, P., Silecchia, G., Marzano, B., Borrelli, V., Lorenzo, M., Angrisani, Luigi, Favretti, F, Furbetta, F, Busetto, L, Doldi, Sb, Lattuada, E, Paganelli, M, Lucchese, M, Basso, N, Capizzi, Fd, Iuppa, A, Lesti, G, Di Lorenzo, N, Giardiello, C, Paganini, A, Di Cosmo, L, Veneziano, A, Lacitgnola, S, Alkilani, M, Forestieri, Pietro, Toppino, M, Gardinazzi, A, Puglisi, F, Cascardo, A, Bernante, P, Silecchia, G, Marzano, B, Borrelli, V, and Lorenzo, M.

Published
2004

12. Italian Group for Lap-Band System: results of multicenter study on patients with BMI < or =35 kg/m2

Author

Angrisani, L, Favretti, F, Furbetta, F, Iuppa, A, Doldi, Sb, Paganelli, M, Basso, N, Lucchese, M, Zappa, M, Lesti, G, Capizzi, Fd, Giardiello, C, Di Lorenzo, N, Paganini, A, Di Cosmo, L, Veneziani, A, Lacitignola, S, Silecchia, G, Alkilani, M, Forestieri, P, Puglisi, F, Gardinazzi, A, Toppino, Mauro, Campanile, F, Marzano, B, Bernante, P, Perrotta, G, Borrelli, V, and Lorenzo, M.

Subjects
Settore MED/18 - Chirurgia Generale
Published
2004

13. Lap Band adjustable gastric banding system: the Italian experience with 1863 patients operated on 6 years

Author

Angrisani, L, Furbetta, F, Doldi, Sb, Basso, N, Lucchese, M, Giacomelli, F, Zappa, M, Di Cosmo, L, Veneziani, A, Turicchia, Gu, Alkilani, M, Forestieri, P, Lesti, G, Puglisi, F, Toppino, M, Campanile, F, Capizzi, Fd, D'Atri, C, Sciptoni, L, Giardiello, C, Di Lorenzo, N, Lacitignola, S, Belvederesi, N, Marzano, B, Bernate, P, Iuppa, A, Borrelli, V, and Lorenzo, M

Subjects
Adult, Male, Adolescent, Databases, Factual, Gastroplasty, Middle Aged, Settore MED/18, Body Mass Index, Postoperative Complications, Weight Loss, Humans, Female, Laparoscopy, Obesity, Aged, Retrospective Studies
Abstract

The Lap Band system procedure is currently the most common bariatric surgical procedure worldwide. This is an interim report of the experience of the 27 Italian centers participating in the national collaborative study group for Lap Band (GILB).An electronic database was specifically created. It was mailed and e-mailed to all of the surgeons now performing the laparoscopic gastric banding operation in Italy.Beginning in January 1996, 1893 patients were recruited for the study. There were 1534 women and 359 men with a mean body mass index (BMI) of (range 30.4-83.6) and a mean age of 37.8 +/- 10.9 years (range; 17-74). The mortality rate has been 0.53% (n = 10), mainly due to cardiovascular complications (myocardial infarction, pulmonary embolism). The laparotomic conversion rate has been 3.1% (59/1893) and was higher in superobese patients (BMI50) than in to morbidly obese patients (BMI50) (p0.05). Postoperative complications occurred in 193 patients (10.2%), including tube port failure (n = 79; 40.9%), gastric pouch dilation (GPD) (n = 93; 48.9%), and gastric erosion (n = 21, 10.8%). Most GPD (65.5%) occurred during the first 50 patients treated at each center. The incidence of GPD decreased as the surgeons acquired more experience. Surgery for complications was often performed by laparoscopic access, rarely via laparotomy. No death was recorded as a consequence of surgery to treat complications. Weight loss has been evaluated at the following intervals: 6, 12, 24, 36, 48, 60, and 72 months, with BMI 37.9, 33.7, 34.8, 34.1, 32.7, 34.8, and 32.The Lap Band system procedure has a very low mortality rate and a low morbidity rate and it yields satisfactory weight loss. Surgery for complications can be performed safely via laparoscopic access.

Published
2003

14. The Italian multicenter experience on 2375 patients treated by bioenterics intragastric balloon

Author

Genco, A., primary, Bruni, T., additional, Doldi, S.B., additional, Forestieri, P., additional, Marino, M., additional, Giardiello, C., additional, Angrisani, L., additional, Pecchioli, L., additional, Stornelli, P., additional, Zappa, M., additional, Alkilani, M., additional, Nigri, A., additional, Lorenzo, N. Di, additional, Furbetta, F., additional, Cipriano, M., additional, Basso, N., additional, and Lorenzo, M., additional

Published
2005
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15. Italian Collaborative Study Group: Features of intragastric band migration (erosion) for past 7 years

Author

Angrisani, L., primary, Favretti, F., additional, Furbetta, F., additional, Busetto, L., additional, Doldi, S.B., additional, Lattuada, E., additional, Paganelli, M., additional, Lucchese, M., additional, Basso, N., additional, Capizzi, F.D., additional, Iuppa, A., additional, Lesti, G., additional, Lorenzo, N. Di, additional, Giardiello, C., additional, Cosmo, L. Di, additional, Veneziani, A., additional, Lacitignola, S., additional, Alkilani, M., additional, Forestieri, P., additional, Toppino, M., additional, Gardinazzi, A., additional, Puglisi, F., additional, Cascardo, A., additional, Bernante, P., additional, Silecchia, G., additional, Marzano, B., additional, Adorni, A., additional, Borrelli, V., additional, and Lorenzo, M., additional

Published
2005
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16. Lap Band� adjustable gastric banding system

Author

Capizzi, F.D., primary, D'Atri, C., additional, Sciptoni, L., additional, Giardiello, C., additional, Lorenzo, N., additional, Lacitignola, S., additional, Belvederesi, N., additional, Marzano, B., additional, Angrisani, L., additional, Furbetta, F., additional, Doldi, S.B., additional, Basso, N., additional, Lucchese, M., additional, Giacomelli, F., additional, Zappa, M., additional, Cosmo, L., additional, Veneziani, A., additional, Turicchia, G.U., additional, Alkilani, M., additional, Forestieri, P., additional, Lesti, G., additional, Puglisi, F., additional, Toppino, M., additional, Campanile, F., additional, Bernate, P., additional, Iuppa, A., additional, Borrelli, V., additional, and Lorenzo, M., additional

Published
2003
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17. Italian Group for Lap-Band System®: Results of Multicenter Study on Patients with BMI ≤35 kg/m2.

Author

Angrisani, L, Favretti, F, Furbetta, F, Iuppa, A, Doldi, S, Paganelli, M, Basso, N, Lucchese, M, Zappa, M, Lesti, G, Capizzi, F, Giardiello, C, Di Lorenzo, N, Paganini, A, Di Cosmo, L, Veneziani, A, Lacitignola, S, Silecchia, G, Alkilani, M, and Forestieri, P

Abstract

Background: The Lap-Band System® is the most common bariatric operation world-wide. Current selection criteria do not include patients with BMI ≤ 35. We report the Italian multicentre experience with BMI ≤ 35 kg/m2 over the last 5 years. Patients and Methods: Data were obtained from 27 centres involved in the Italian Collaborative Study Group for Lap-Band System®. Detailed information was collected on a specially created electronic data sheet (MS Access 2000) on patients operated in Italy since January 1996. Items regarding patients with BMI ≤ 35 were selected. Data were expressed as mean ± SD except as otherwise indicated. Results: 225 (6.8%) out of 3,319 Lap-Band® patients were recruited from the data-base. 15 patients, previously submitted to another bariatric procedure (BIB =14; VBG= 1) were excluded. 210 patients were eligible for study (34M/176F, mean age 38.19±11.8, range 17-66 years, mean BMI 33.9±1.1, range 25.1-35 kg/m2, mean excess weight 29.5±7.1, range 8-41). 199 comorbidities were diagnosed preoperatively in 55/210 patients (26.2%). 1 patient (0.4%) (35 F) died 20 months postoperatively from sepsis following perforation of dilated gastric pouch. There were no conversions to laparotomy. Postoperative complications presented in 17/210 patients (8.1%). Follow-up was obtained at 6, 12, 24, 36, 48 and 60 months. At these time periods, mean BMI was 31.1±2.15, 29.7±2.19, 28.7±3.8, 26.7±4.3, 27.9±3.2, and 28.2±0.9 kg/m2 respectively. Co-morbidities completely resolved 1 year postoperatively in 49/55 patients (89.1%). At 60 months follow-up, only 1 patient (0.4%) has a BMI >30. Conclusions: Although surgical indications for BMI ≤ 35 remain questionable, the Lap-Band® in this study demonstrated that all but 1 patient achieved normal weight, and most lost their co-morbidities with a very low mortality rate. [ABSTRACT FROM AUTHOR]

Published
2004
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18. Laparoscopic Italian Experience with the Lap-Band®.

Author

Angrisani, L, Alkilani, M, Basso, N, Belvederesi, N, Campanile, F, Capizzi, F, D'Atri, C, Di Cosmo, L, Doldi, S, Favretti, F, Forestieri, P, Furbetta, F, Giacomelli, F, Giardiello, C, Iuppa, A, Lesti, G, Lucchese, M, Puglisi, F, Scipioni, L, and Toppino, M

Abstract

Background: An increasing number of surgeons with different levels of experience with laparoscopic surgery and open obesity surgery have started to perform laparoscopic implantation of the Lap-Band®. Methods: An electronic patient data sheet was created and was mailed and e-mailed to all surgeons performing laparoscopic adjustable silicone gastric banding (LASGB) in Italy. Patients were recruited since January 1996. Data on 1,265 Lap-Band System® operated patients (258 M / 1,007 F; mean BMI 44.1, range 27.0-78.1; mean age 38, range 17-74 years) were collected from 23 surgeons performing this operation. Results: Intra-operative mortality was absent. Post-operative mortality was 0.55% (7 patients) for causes not specifically related to LASGB implantation. The laparotomic conversion rate was 1.7% (22 patients). LASGB related complications occured in 143 patients (11.3%). Pouch dilatation was diagnosed in 65 (5.2%), and 28 (2.2%) of these underwent re-operation. Band erosion was observed in 24 patients (1.9%). Port or connecting tube-port complications occurred in 54 patients (4.2%), 12 of whom required revision under general anesthesia. Follow-up was obtained at 6, 12, 18, 24, 36 and 48 months, and mean BMI was respectively 38.4, 35.1, 33.1, 30.2, 32.1 and 31.5. The percentage of patients observed at each follow-up was >60%. There was no intra-operative mortality and no complication-related mortality, with acceptable weight loss. Conclusion: The LASGB operation is safe and effective, and deserves wider use for treatment of morbid obesity. [ABSTRACT FROM AUTHOR]

Published
2001
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19. Bioenterics((R)) intragastric balloon (BIB (R)): Experience of Italian multicenter group on 2,225 patients

Author

Genco, A., Bruni, T., Doldi, Sb, Forestieri, P., Marino, M., Giardiello, C., Angrisani, L., Pecchioli, L., Stornelli, P., Alkilani, M., Nigri, A., NICOLA DI LORENZO, Furbetta, F., Cipriano, M., Genco, A, Bruni, T, Doldi, Sb, Forestieri, Pietro, Marino, M, Giardiello, C, Angrisani, Luigi, Pecchioli, L, Stornelli, P, Alkilani, M, Nigri, A, Di Lorenzo, N, Furbetta, F, and Cipriano, M.

20. The use of laparoscopic adjustable gastric banding in the elderly

Author

Busetto, L., Angrisani, L., Favretti, F., Furbetta, F., Paganelli, M., Basso, N., Micheletto, G., Iuppa, A., Lucchese, M., Lattuada, E., Giardiello, C., D Capizzi, F., Di Lorenzo, N., Cascardo, A., Di Cosmo, L., Forestieri, P., Veneziani, A., Alkilani, M., Puglisi, F., Bonanomi, G., Lesti, G., Gardinazzi, A., paolo bernante, Adorni, A., Borrelli, V., Lorenzo, M., Busetto, L, Angrisani, Luigi, Favretti, F, Furbetta, F, Paganelli, M, Basso, N, Micheletto, G, Iuppa, A, Lucchese, M, Lattuada, E, Giardiello, C, D., Capizzi F, Di Lorenzo, N, Cascardo, A, Di Cosmo, L, Forestieri, Pietro, Veneziani, A, Alkilani, M, Puglisi, F, Bonanomi, G, Lesti, G, Gardinazzi, A, Bernante, P, Adorni, A, Borrelli, V, and Lorenzo, M.

21. Laparoscopic gastric banding: Complications trend of the Italian experience during the last years

Author

Angrisani, L., Favretti, F., Furbetta, F., Luppa, A., Doldi, Sb, Paganelli, M., Basso, N., Lucchese, M., Lattuada, M., Lesti, G., NICOLA DI LORENZO, Capizzi, Fd, Giardiello, C., Paganini, A., Di Cosmo, L., Veneziani, A., Lacitignola, S., Silecchia, G., Alkilani, M., Forestieri, P., Puglisi, F., Gardinazzi, A., Toppino, M., Campanile, F., Marzano, B., Bernante, P., Borrelli, V., Lorenzo, M., Angrisani, Luigi, Favretti, F, Furbetta, F, Luppa, A, Doldi, Sb, Paganelli, M, Basso, N, Lucchese, M, Lattuada, M, Lesti, G, Di Lorenzo, N, Capizzi, Fd, Giardiello, C, Paganini, A, Di Cosmo, L, Veneziani, A, Lacitignola, S, Silecchia, G, Alkilani, M, Forestieri, Pietro, Puglisi, F, Gardinazzi, A, Toppino, M, Campanile, F, Marzano, B, Bernante, P, Borrelli, V, and Lorenzo, M.

22. Bioenterics (R) intragastric balloon (BIB (R)): Italian multicentric experience on 1,007 patients

Author

Genco, A., Bruni, T., Forestieri, P., Doldi, Sb, Marino, M., Giardiello, C., Angrisani, L., Pecchioli, L., Stornelli, R., Alkilani, M., Nigri, A., NICOLA DI LORENZO, Furbetta, F., Lorenzo, M., Basso, N., Genco, A, Bruni, T, Forestieri, Pietro, Doldi, Sb, Marino, M, Giardiello, C, Angrisani, Luigi, Pecchioli, L, Stornelli, R, Alkilani, M, Nigri, A, Di Lorenzo, N, Furbetta, F, Lorenzo, M, and Basso, N.

23. Bioenterics (R) Intragastric Balloon (bib (R)): Experience of Italian multicentre group on 2775 patients

Author

Genco, A., Bruni, T., Doldi, Sb, Forestieri, P., Marino, M., Giardiello, C., Angrisani, L., Pecchioli, L., Stornelli, P., Puglisi, F., Alkilani, M., Nigri, A., NICOLA DI LORENZO, Furbetta, F., Cipriano, M., Lorenzo, M., Basso, N., Genco, A, Bruni, T, Doldi, Sb, Forestieri, Pietro, Marino, M, Giardiello, C, Angrisani, Luigi, Pecchioli, L, Stornelli, P, Puglisi, F, Alkilani, M, Nigri, A, Di Lorenzo, M, Furbetta, F, Cipriano, M, Lorenzo, M, and Basso, N.

24. Five-year follow-up of the Lap-Band((R)) system: Are those who fail really failures?

Author

Angrisani, L., Favretti, F., Furbetta, F., Doldi, Sb, Lattuada, E., Paganelli, M., Lucchese, M., Basso, N., Capizzi, Fd, NICOLA DI LORENZO, Iuppa, A., Lesti, G., Giardello, C., Veneziani, A., Alkilani, M., Zappa, M., Forestieri, P., Gardinazzi, A., Puglisi, F., Cascardo, A., Bernante, P., Busetto, L., Angrisani, Luigi, Favretti, F, Furbetta, F, Doldi, Sb, Lattuada, E, Paganelli, M, Lucchese, M, Basso, N, Capizzi, Fd, Di Lorenzo, N, Iuppa, A, Lesti, G, Giardello, C, Veneziani, A, Alkilani, M, Zappa, M, Forestieri, Pietro, Gardinazzi, A, Puglisi, F, Cascardo, A, Bernante, P, and Busetto, L.

25. Results and complications on 3,252 patients treated by Bioenterics (R) intragastric balloon (BIB (R)): The Italian experience

Author

Genco, A., Bruni, T., Doldi, Sb, Forestieri, P., Marino, M., Giardiello, C., Furbetta, F., Angrisani, L., Pecchioli, L., Stornelli, P., Alkilani, M., Nigri, A., NICOLA DI LORENZO, Cipriano, M., Lorenzo, M., Basso, N., Genco, A, Bruni, T, Doldi, Sb, Forestieri, Pietro, Marino, M, Giardiello, C, Furbetta, F, Angrisani, Luigi, Pecchioli, L, Stornelli, P, Alkilani, M, Nigri, A, Di Lorenzo, N, Cipriano, M, Lorenzo, M, and Basso, N.

26. Italian Group for Lap-band (R): Evolution of results and complications in the last 10years

Author

Angrisani, L., Favretti, F., Furbetta, F., Micheletto, M., Zappa, M., Paganelli, M., Lucchese, M., Basso, N., Forestieri, R., Capizzi, F. D., Cascardo, A., NICOLA DI LORENZO, Di Cosmo, L., Gardinazzi, A., Giardiello, C., Lesti, G., Veneziani, A., Puglisi, F., Alkilani, M., Iuppa, A., Bernante, P., Bonanomi, G., Adorni, A., Marzano, B., Borrelli, V., and Lorenzo, M.

27. The Italian experience of 3,252 patients treated by Bioenterics (R) Intragastric Balloon (BIB (R))

Author

Genco, Alfredo, Furbetta, Francesco, Micheletto, Giancarlo, Forestieri, Pietro, Marino, Maria, Busetto, Luca, Giardiello, Cristiano, Angrisani, Luigi, Pecchioli, Luca, Zappa, Marco, Stornelli, Patrizio, Puglisi, Francesco, NICOLA DI LORENZO, Pilone, Vincenzo, Lucchese, Marcello, Bruni, Tommaso, Nigri, Achille, Alkilani, Mohammad, Cipriano, Massimiliano, Lorenzo, Michele, Basso, Nicola, Genco, A, Furbetta, F, Micheletto, G, Forestieri, Pietro, Marino, M, Busetto, L, Giardiello, C, Angrisani, Luigi, Pecchioli, L, Zappa, M, Stornelli, P, Puglisi, F, Di Lorenzo, N, Pilone, Vincenzo, Lucchese, M, Bruni, T, Nigri, A, Alkilani, M, Cipriano, M, Lorenzo, M, and Basso, N.

Published
2007

28. BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients

Author

F. Puglisi, M. Alkilani, Luca Busetto, Cristiano Giardiello, Massimiliano Cipriano, Michele Lorenzo, A. Cascardo, T. Bruni, Sb Doldi, N Di Lorenzo, Luigi Angrisani, Pietro Forestieri, A. Nigri, Maria Marino, Alfredo Genco, P. Stornelli, Francesco Furbetta, Nicola Basso, L. Pecchioli, Genco, A, Bruni, T, Doldi, S. B., Forestieri, Pietro, Marino, M, Busetto, L, Giardielklo, C, Angrisani, Luigi, Pecchioli, L, Stornelli, P, Puglisi, F, Alkilani, M, Nigri, A, DI LORENZO, N, Furbetta, F, Cascardo, A, Cipriano, M, Lorenzo, M, Basso, N., A., Genco, T., Bruni, S. B., Doldi, M., Marino, L., Busetto, C., Giardiello, L., Pecchioli, P., Stornelli, F., Puglisi, M., Alkilani, A., Nigri, N., Di Lorenzo, F., Furbetta, A., Cascardo, M., Cipriano, M., Lorenzo, and N., Basso

Subjects
Adult, obesity, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Sedation, Perforation (oil well), Bariatric Surgery, Comorbidity, Balloon, intragastric baloon, Weight loss, Weight Loss, medicine, Humans, Child, Saline, Contraindication, Aged, Gastric Balloon, Retrospective Studies, Nutrition and Dietetics, co-morbidity, complications, intragastric balloon, weight loss, business.industry, Gastric Obstruction, Middle Aged, medicine.disease, Surgery, Obesity, Morbid, Settore MED/18 - Chirurgia Generale, Treatment Outcome, Italy, medicine.symptom, business, Esophagitis
Abstract

BACKGROUND: The temporary use of the BioEnterics Intragastric Balloon (BIB) in morbidly obesity is increasing worldwide. The aim of this study is the evaluation of the efficacy of this device in a large population, in terms of weight loss and its influence on co-morbidities. METHODS: Data were retrospectively recruited from the data-base of the Italian Collaborative Study Group for Lap-Band and BIB (GILB). After diagnostic endoscopy, the BIB was positioned and was filled with saline (500-700 ml) and methylene blue (10 ml). Patients were discharged with diet counselling ( approximately 1000 Kcal) and medical therapy. The BIB was removed after 6 months. Positioning and removal were performed under conscious or unconscious sedation. Mortality, complications, BMI, %EWL, BMI loss and co-morbidities were evaluated. RESULTS: From May 2000 to September 2004, 2,515 patients underwent BIB (722M/1,793F; mean age 38.9+/-14.7, range 12-71; mean BMI 44.4+/-7.8 kg/m(2) ; range 28.0-79.1; and mean excess weight 59.5+/-29.8 kg, range 16-210). BIB positioning was uncomplicated in all but two cases (0.08%) with acute gastric dilation treated conservatively. Overall complication rate was 70/2,515 (2.8%). Gastric perforation occurred in 5 patients (0.19%), 4 of whom had undergone previous gastric surgery: 2 died and 2 were successfully treated by laparoscopic repair after balloon removal. 19 gastric obstructions (0.76%) presented in the first week after positioning and were successfully treated by balloon removal. Balloon rupture (n=9; 0.36%) was not prevalent within any particular period of BIB treatment, and was also treated by BIB removal. Esophagitis (n=32; 1.27%) and gastric ulcer (n=5; 0.2%) presented in patients without a history of peptic disease and were treated conservatively by drugs. Preoperative co-morbidities were diagnosed in 1,394/2,471 patients (56.4%); these resolved in 617/1,394 (44.3%), improved (less pharmacological dosage or shift to other therapies) in 625/1,394 (44.8%), and were unchanged in 152/1,394 (10.9%). After 6 months, mean BMI was 35.4+/-11.8 kg/m(2) (range 24-73) and %EWL was 33.9+/-18.7 (range 0-87). BMI loss was 4.9+/-12.7 kg/m(2) (range 0-25). CONCLUSIONS: BIB is an effective procedure with satisfactory weight loss and improvement in co-morbidities after 6 months. Previous gastric surgery is a contraindication to BIB placement.

Published
2005

29. [Assessment of CEA values in patients with malignant neoplasms].

Author

Alkilani M, Straci S, and Panuccio V

Subjects
Female, Humans, Lymphatic Metastasis, Male, Neoplasm Recurrence, Local diagnosis, Prognosis, Radioimmunoassay, Breast Neoplasms diagnosis, Carcinoembryonic Antigen analysis, Colorectal Neoplasms diagnosis
Published
1989

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