The Impact of Laparoscopic Adjustable Gastric Banding on an NHS Cohort of Type 2 Diabetics: a Prospective Cohort Study

• Published in: Obesity surgery 2016-09, Vol.26 (9), p.2006-2013
• Main Authors: Egan, Richard J., Johnson, Andrew B., Morgan, Justin D. T., Norton, Sally A.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Blood Glucose; Clinical outcomes; Diabetes; Diabetes Mellitus, Type 2; Female; Gastrointestinal surgery; Gastroplasty; Humans; Laparoscopy; Male; Medicine; Medicine & Public Health; Middle Aged; Obesity; Obesity, Morbid - complications; Obesity, Morbid - surgery; Original Contributions; Prospective Studies; Risk factors; State Medicine; Surgery; Treatment Outcome; United Kingdom; Weight Loss
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-015-2039-2

Background Obesity is an independent risk factor for diabetes, which is associated with significant morbidity and premature death. This study aims to evaluate the impact of laparoscopic adjustable gastric banding (LAGB) on a cohort of morbidly obese diabetics. Methods Inclusion and exclusion criteria were applied to consecutive diabetic patients undergoing LAGB. Demographic and disease-specific data were collected at baseline and 6-monthly intervals corresponding to follow-up assessments. Minimum follow-up was 24 months. Normally distributed variables were assessed with one-way analysis of variance/ t tests; proportions were analysed with chi-squared/Fisher’s exact tests. Follow-up was ≥90 % complete at each time point. Results One hundred twenty patients with a median age of 43.3 years, mean (± standard deviation (SD)) pre-op body mass index (BMI) of 48.7 (±8) kg/m2, and HbA1c of 8.6 (±2) % were included. BMI reduced significantly, with annual post-operative means of 41.4 ± 7.8, 39.9 ± 7.7, 39.5 ± 7.8, 39.3 ± 7.1 and 36.6 ± 5.4 kg/m 2 ( p