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Obesity Surgery

, Volume 21, Issue 2, pp 161–166 | Cite as

The Effects of Laparoscopic Adjustable Gastric Banding on Idiopathic Intracranial Hypertension

  • Richard J. EganEmail author
  • Hayley E. Meredith
  • James E. Coulston
  • Luke Bennetto
  • Justin D. T. Morgan
  • Sally A. Norton
Clinical Report

Abstract

The purpose of this study was to determine whether laparoscopic adjustable gastric banding has a role in the treatment of idiopathic intracranial hypertension. This pilot study was undertaken in a single, tertiary referral centre. Data on all patients with idiopathic intracranial hypertension that have undergone laparoscopic adjustable gastric banding in our unit were collected from our prospectively maintained bariatric database. Additional information was obtained via telephone questionnaires and review of medical records. Four female patient with a mean age of 32 years (range 29–39 years) and mean pre-operative body mass index of 46.1 kg/m2 (range 38.2–54.0 kg/m2) underwent laparoscopic adjustable gastric banding between June 2006 and July 2009. At a mean follow-up of 19.8 months all four patients reported either total resolution of headache or significant improvement in headache, with a mean improvement in pain score of 76.3/100 (range 55–95) on a analogue pain score. Mean excess weight loss at follow-up was 64.1% (range 50.1–88.2%). There were no complications or mortality in this cohort. This study suggests that laparoscopic adjustable gastric banding represents an effective and safe treatment for idiopathic intracranial hypertension associated with morbid obesity. We have shown good results both in terms of symptom resolution and weight loss, whilst avoiding alimentary tract diversion procedures in these young female patients. A randomized, controlled trial can be justified on the basis of this initial pilot study.

Keywords

Gastric banding Idiopathic intracranial hypertension Obesity-related co-morbidities 

Abbreviations

IIH

Idiopathic intracranial hypertension

CSF

Cerebrospinal fluid

LAGB

Laparoscopic adjustable gastric banding

NHS

National Health Service

NICE

National Institute for Health and Clinical Excellence

BMI

Body mass index

UK

United Kingdom

Notes

Conflict of Interest

The authors declare no conflicts of interest in relation to this manuscript

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Copyright information

© Springer Science + Business Media, LLC 2010

Authors and Affiliations

  • Richard J. Egan
    • 1
    Email author
  • Hayley E. Meredith
    • 2
  • James E. Coulston
    • 3
  • Luke Bennetto
    • 4
  • Justin D. T. Morgan
    • 1
  • Sally A. Norton
    • 1
  1. 1.Department of General & Bariatric SurgerySouthmead HospitalBristolUK
  2. 2.Bristol Institute of Bariatric SurgerySouthmead HospitalBristolUK
  3. 3.Department of General & Bariatric SurgerySouthmead HospitalBristolUK
  4. 4.Department of NeurosciencesFrenchay HospitalBristolUK

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