Mauro Toppino Bendaggio gastrico : Dati Registro S.I.C.OB. ACOI

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1 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

2 14.641 interventions in 10 years
Italian Registry 11923 interventions from January 1996 I.B.S.R. (Mason Registry) interventions in 10 years

3 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

4 11923 Interventions ASGB 5324 (44.7 %) VBG 3794 (31.8 %)
BPD (15.5 %) GBP (5.4 %) BIB (1.7 %) n.a.GB (0.5 %) Pacing (0.2 %) Others (0.2 %)

5 Different Technique Increase

6 Laparoscopic Procedures

7 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.

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

9 ASGB Different Bands Lap-Band 3596 71.3% Swedish Band 508 10 %
MidBand % Heliogast %

10 Different Bands and Centers
ASGB Different Bands and Centers Lap-Band Swedish Band MidBand Heliogast

11 Pre operative BMI ASGB VBG BPG GBP 43.1 44.8 48.9 48.8

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

13 Conversions to open ASGB VBG BPD GBP 1.4 4.3 12.2 1.7

14 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

15 Operative mortality 32 / 11923 (0.27%)
ASGB / (0.1 %) VBG 7 / (0.2 %) BPD / ( 1 %) GBP / (0.2 %)

16 Early Complications %

17 Results on weight loss (ASGB)
EWL%

18 Results on weight loss (VBG)
EWL%

19 Results on weight loss (BPD)
EWL%

20 Late complications (% reinterventions)
6.3 % major compl.

21 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)