Changes in Outcomes, Satiety and Adverse Upper Gastrointestinal Symptoms Following Laparoscopic Adjustable Gastric Banding

• Published in: Obesity surgery 2017-05, Vol.27 (5), p.1240-1249
• Main Authors: Burton, Paul R, Ooi, Geraldine J, Laurie, Cheryl, Anderson, Margaret, Parker, Katrina, Paul, Eldho, Hebbard, Geoff, O’Brien, Paul E, Brown, Wendy A
• Format: Article
• Language: English
• Subjects: Adult; Deglutition Disorders - etiology; Dysphagia; Female; Gastrointestinal Diseases - etiology; Gastrointestinal surgery; Gastroplasty - adverse effects; Humans; Laparoscopy; Male; Medicine; Medicine & Public Health; Middle Aged; Obesity; Obesity, Morbid - surgery; Original Contributions; Patient Satisfaction; Perceptions; Postoperative Period; Prospective Studies; Quality of Life; Satiation; Side effects; Surgery; Surgical outcomes; Treatment Outcome; Weight control; Weight Loss
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-016-2434-3

Background Patient-reported outcomes and perceptions are critical to the overall efficacy and acceptability of a surgical procedure. Outcomes, such as patient satisfaction and perceived success of the surgery and adverse symptoms, have not been described in detail following bariatric surgery. The associations and predictors of patient satisfaction have not been defined. This study aimed to examine long-term outcomes and perceptions after laparoscopic adjustable gastric banding (LAGB). Methods We conducted a prospective study of outcomes, satiety and adverse upper gastrointestinal symptoms, as well as quality of life and subjective patient satisfaction in LAGB patients. Data were collected at 3 years (T1) and 8 years post-operatively (T2). Results One-hundred and sixty patients completed follow-up at T1 and T2. The average age was 44.0 ± 11.2 years. At T2, the total body weight loss was 17.8 ± 11.9 %. Satisfaction decreased significantly between time points (8.6 ± 1.8 vs 7.2 ± 2.9, p