Preliminary results of the laparoscopic adjustable gastric banding procedure by a new generation of silicone band:: MIDBAND

Background The surgical treatment of morbid obesity by laparoscopic adjustable gastric banding has become a gold standard in Europe. Currently, five types of silicone bands are used in the majority of countries performing bariatric surgery. Methods The MIDBAND (R) was introduced to the European market in 2000. It is placed around the stomach using the Pars Flaccida technique described by Forsell. A prospective multicentric study on 113 cases was carried out to evaluate technical feasibility, complications, and the midterm weight loss outcomes (2 years). Results The percentage of excess body weight loss was 52.58% at 2 years. Perioperative mortality was nil and the complication rate was low (slippage < 2%). Conclusion These encouraging results require longer-term studies to validate this procedure.