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RÉSUMÉ
Introduction. La chirurgie de l’obésité, ou chirurgie bariatrique, demeure peu connue et pratiquée dans notre environnement. Notre pratique de la chirurgie bariatrique a débuté en 2012 par la pose d’anneau gastrique ajustable. Le but de cette étude était d’évaluer les résultats de cette technique de chirurgie bariatrique 9 ans après le début de sa pratique dans notre service. Patients et méthodes. Rétrospectivement, tous les dossiers de patients ayant eu une chirurgie bariatrique par pose d’un anneau gastrique, entre le 1er janvier 2012 et le 31 décembre 2020, ont été colligés. Résultats. Six patients ont été inclus dont 5 de sexe féminin. Leur âge moyen était de 35,3±10,8 ans. Leur indice de masse corporelle (IMC) moyen avant la chirurgie était de 41,1±3,4 kg/m2. Toutes les procédures ont été conduites totalement par voie coelioscopique, avec une durée moyenne d’intervention de 174±57,7min. La durée moyenne d’hospitalisation était de 3,3±0,5 jours. Aucune complication n’a été enregistrée dans les 30 jours suivants la chirurgie. Les résultats sur la perte pondérale à un an montraient une perte de l’excès de poids de 38,89% et une baisse de l’IMC de 15,71%. Avec un délai moyen de 3,7 ans, 4 des 6 anneaux gastriques posés avaient été enlevés au décours d’une complication. Aucun décès n’a été enregistré. Conclusion. Si la morbidité postopératoire précoce de l’anneau gastrique est nulle, elle est importante à moyen/long terme, imposant son ablation dans 4 cas sur 6. Les médiocres résultats sur la perte pondérale nous ont poussés à arrêter cette technique de chirurgie bariatrique pour une autre, la gastrectomie longitudinale.


ABSTRACT
Introduction. Bariatric surgery in poorly known and practiced in Africa. We started our practice in 2012 with gastric band. The aim of this study is to report the results of nine years of bariatric surgery. Patients and methods. In retrospect, all the files of patients who had bariatric surgery by placement of a gastric band, between January 1, 2012 and December 31, 2020, were collected. Results. Six patients were included, 5 of whom were female. Their average age was 35.3 ± 10.8 years. Their mean Body Mass Index (BMI) before surgery was 41.1 ± 3.4 kg / m2. All the procedures were performed completely by laparoscopic route, with an average operating time of 174 ± 57.7min. The mean hospital stay was 3.3 ± 0.5 days. No complications were recorded within 30 days of surgery. The results for weight loss at one year showed a loss of excess weight of 38.89% and a decrease in BMI of 15.71%. With an average delay of 3.7 years, 4 of the 6 gastric bands had been removed following a complication. No deaths have been recorded. Conclusion. While the early postoperative morbidity of the gastric band was zero, it was significant in the medium / long term, requiring its removal in 4 out of 6 cases. The results on weight loss were poor. These results lead us to stop this technique of bariatric surgery for longitudinal gastrectomy.

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Guy Aristide, B., B, N. O. ., EP, S. ., JJ, M. N. ., & Arthur, E. (2021). L’Anneau Gastrique Ajustable dans la Prise en Charge Chirurgicale de l’Obésité : Bilan de 9 Années de Pratique au Centre Hospitalier d’Essos: Ajustable gastric band in the surgical management of obesity: Evaluation of nine years of practice at Essos Hospital. HEALTH SCIENCES AND DISEASE, 23(1). https://doi.org/10.5281/hsd.v23i1.3212
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