Impact of Laparoscopic Adjustable Gastric Banding on Obesity Co-morbidities in the Medium- and Long-Term
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The authors evaluated the impact of laparoscopic adjustable gastric banding (LAGB) on obesity-associated diseases in a series at 3 to 8 years postoperatively, namely diabetes, pulmonary disease, hypertension and knee joint pain.
145 morbidly obese patients underwent LAGB with mean age 38 years and preoperative BMI 48.5 kg/m2 (range 34–7). Changes in BMI and excess BMI loss (EBL) were evaluated.
138 of the 145 patients (95%) were available for full follow-up. At last follow-up, BMI had dropped to 34.0 ±–.4 SD kg/m2, and mean EBL was 61.9 ±–6.1%. Prevalence of obesity-associated disease was significantly reduced: diabetes decreased from 10% to 4%, treatment-requiring pulmonary disease from 15% to 5%, hypertension from 43% to 27%, and knee pain from 47% to 38%.
Following gastric banding, >75% of patients suffering from obesity-related disease had significant decrease or resolution of their co-morbidities.
- WHO. Obesity –Preventing and managing the global epidemic. Report of a WHO consultation on Obesity. Geneva 1997:3–.
- Solomon CG, Dluhy RG. Bariatric surgery –quick fix or long-term solution? N Engl J Med 2004; 351: 2751–. CrossRef
- Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg 2004; 14: 1157–4. CrossRef
- O’Brien PE, McPhail T, Chaston TB et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg 2006; 16: 1032–0. CrossRef
- Favretti F, Segato G, Ashton D et al. Laparoscopic adjustable gastric banding in 1,791 consecutive obese patients: 12-year results. Obes Surg 2007; 7: 168–5. CrossRef
- Iannelli A, Gugenheim J. Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as a rescue procedure for patients with failed laparoscopic gastric banding. Ann Surg 2005; 241: 383–. CrossRef
- Mognol P, Chosidow D, Marmuse JP. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg 2005; 15: 76–1. CrossRef
- O’Brien PE, Dixon JB, Laurie C. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg 2005; 15: 820–. CrossRef
- Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development and Conference Draft Statement. Obes Surg 1991; 2: 257–6.
- Deitel M, Greenstein RJ. Recommendations for reporting weight loss. Obes Surg 2003; 13: 159–0. CrossRef
- Deitel M. Overview of operations for morbid obesity. World J Surg 1998; 22: 913–. CrossRef
- Lean MEJ, Powrie JK, Anderson AS. Obesity, weight loss and prognosis in type 2 diabetes. Diabetic Med 1990; 7: 228–3. CrossRef
- Busetto L, Pisent C, Rinaldi D et al. Variation in lipid levels in morbidly obese patients operated with the Lap-Band® adjustable gastric system: effects of different levels of weight loss. Obes Surg 2000; 10: 569–7. CrossRef
- Ponce J, Haynes B, Paynter S et al. Effect of Lap-Band-induced weight loss on type 2 diabetes mellitus and hypertension. Obes Surg 2004; 14: 1335–2. CrossRef
- Davila-Cervantes A, Dominguez-Cherit G, Borunda D et al. Impact of surgically-induced weight loss on respiratory function: a prospective analysis. Obes Surg 2004; 14: 1389–2. CrossRef
- Valencia-Flores M, Orea A, Herrera M et al. Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure. Obes Surg 2004; 14: 755–2. CrossRef
- Impact of Laparoscopic Adjustable Gastric Banding on Obesity Co-morbidities in the Medium- and Long-Term
Volume 17, Issue 5 , pp 679-683
- Cover Date
- Print ISSN
- Online ISSN
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- Morbid obesity
- obesity surgery
- gastric banding
- obesity-associated diseases
- Industry Sectors
- Author Affiliations
- 1. Department of Surgery, University of Mainz, Mainz, Germany
- 3. Department of Abdominal Surgery, University of Mainz, Langenbeckstrasse 1, D-55101, Mainz, Germany
- 2. Institute for Research in Operative Medicine, University of Witten/Herdecke, Cologne, Germany