Mauro Toppino Bendaggio gastrico : Dati Registro S.I.C.OB. ACOI Università degli Studi di Torino Chirurgia Generale II (Direttore Prof. M. Morino) Bendaggio gastrico : Dati Registro S.I.C.OB. Mauro Toppino ACOI Montecatini Terme, 2005

14.641 interventions in 10 years Italian Registry 11923 interventions from January 1996 I.B.S.R. (Mason Registry) 14.641 interventions in 10 years

49 Registry Contributors Parini - Aosta Morino – Torino Nanni - Vercelli Doldi - Milano Paganelli – Milano Lattuada – Milano Bertoncini - Magenta Vassallo - Pavia Della Valle – Stradella Sacco – Bergamo Salerni - Brescia Gardinazzi – Brescia Boscarino – Desenzano Bottani – Mortara Pizzi – Monza Bruni – Mantova Campo - Castiglione St. Baggio – Verona Favretti - Vicenza Adorni - Parma Della Valle - Reggio E. Melotti - Modena Amenta - Bologna Capizzi – Bologna Turicchia - Ravenna Scopinaro - Genova DePaoli - Genova Falchero – Albenga Lucchese - Firenze Palandri - Pistoia Furbetta - Pisa Anselmino – Pisa Di Cosmo - Siena Gaggiotti - Ancona Boni – Foligno Basso – Roma Tacchino - Roma Bertoldi - Roma Badiali - Roma Lesti – Lanciano Campanile – Civita C. Forestieri - Napoli Angrisani – Napoli Porcini – Napoli Giardiello – Casoria Puglisi – Bari Alkilani - Reggio C. Bajardi - Palermo Noya – Sassari + Perugia

11923 Interventions ASGB 5324 (44.7 %) VBG 3794 (31.8 %) BPD 1849 (15.5 %) GBP 647 (5.4 %) BIB 199 (1.7 %) n.a.GB 55 (0.5 %) Pacing 25 (0.2 %) Others 30 (0.2 %)

Different Technique Increase

Laparoscopic Procedures

34 Registry Contributors for LASGB Morino – Torino Doldi - Milano Paganelli – Milano Lattuada – Milano Bertoncini - Magenta Vassallo - Pavia Della Valle – Stradella Sacco – Bergamo Salerni - Brescia Gardinazzi – Brescia Boscarino – Desenzano Bottani – Mortara Pizzi – Monza Baggio – Verona Favretti - Vicenza Adorni - Parma Capizzi – Bologna Turicchia - Ravenna DePaoli - Genova Lucchese - Firenze Furbetta - Pisa Anselmino – Pisa Di Cosmo - Siena Gaggiotti - Ancona Basso – Roma Bertoldi - Roma Lesti – Lanciano Campanile – Civita C. Forestieri - Napoli Angrisani – Napoli Porcini – Napoli Giardiello – Casoria Puglisi – Bari Alkilani - Reggio C.

ASGB 5324 Open 181 (3.4%) Laparoscopy 5143 (96.6%) Conversions (1.4%)

ASGB Different Bands Lap-Band 3596 71.3% Swedish Band 508 10 % MidBand 526 7.7% Heliogast 413 8.2%

Different Bands and Centers ASGB Different Bands and Centers Lap-Band 22 Swedish Band 8 MidBand 4 Heliogast 6

Pre operative BMI ASGB VBG BPG GBP 43.1 44.8 48.9 48.8

Operative time ASGB VBG open VBG lap BPD open GBP open GBP lap 86.8 89 110 196 197 185

Conversions to open ASGB VBG BPD GBP 1.4 4.3 12.2 1.7

Postop stay ASGB VBG open VBG lap BPD open GBP open GBP lap 2.5 6.6 6.4 9.5 9.1 9.1

Operative mortality 32 / 11923 (0.27%) ASGB 5 / 5324 (0.1 %) VBG 7 / 3794 (0.2 %) BPD 19 / 1849 ( 1 %) GBP 1 / 647 (0.2 %)

Early Complications %

Results on weight loss (ASGB) EWL%

Results on weight loss (VBG) EWL%

Results on weight loss (BPD) EWL%

Late complications (% reinterventions) 6.3 % major compl.

S.I.C.OB. Registry LASGB Conclusions Excellent results on early complications, operative time, post-operative stay Good results on weight loss (less than other bariatric techniques) Initial high rate of late complications (at present widely decreased)