Laparoscopic Adjustable Gastric Banding—Should a Second Chance Be Given?

Background Obesity is a chronic relapsing-remitting disease and a global pandemic, being associated with multiple comorbidities. Laparoscopic adjustable gastric banding (LAGB) is one of the safest surgical procedures used for the treatment of obesity, and even though its popularity has been decreasi...

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Bibliographic Details
Published in:Obesity surgery 2020-08, Vol.30 (8), p.2913-2919
Main Authors: Leca, Bianca M., Khan, Uzma, Abraham, Jenny, Halder, Louise, Shuttlewood, Emma, Shah, Neha, Ellis, Hugh L., Aylwin, Simon J. B., Barber, Thomas M., Menon, Vinod, Randeva, Harpal S., Dimitriadis, Georgios K.
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Diabetes
Female
Gastrointestinal surgery
Gastroplasty
Humans
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - surgery
Original Contributions
Surgery
Treatment Outcome
Weight control
Weight Loss
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Summary:Background Obesity is a chronic relapsing-remitting disease and a global pandemic, being associated with multiple comorbidities. Laparoscopic adjustable gastric banding (LAGB) is one of the safest surgical procedures used for the treatment of obesity, and even though its popularity has been decreasing over time, it still remains an option for a certain group of patients, producing considerable weight loss and improvement in obesity-associated comorbidities. Methods The aim of this study was to evaluate the impact of weight loss following LAGB on obesity-associated comorbidities, and to identify factors that could predict better response to surgery, and patient sub-groups exhibiting greatest benefit. A total of 99 severely obese patients (81.2% women, mean age 44.19 ± 10.94 years, mean body mass index (BMI) 51.84 ± 8.77 kg/m 2 ) underwent LAGB in a single institution. Results obtained 1, 2, and 5 years postoperatively were compared with the pre-operative values using SPPS software version 20. Results A significant drop in BMI was recorded throughout the follow-up period, as well as in A1c and triglycerides, with greatest improvement seen 2 years after surgery (51.8 ± 8.7 kg/m 2 vs 42.3 ± 9.2 kg/m 2 , p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-020-04613-1