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Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity

Yves Van Nieuwenhove UGent, Wim Ceelen UGent, Anneleen Stockman UGent, HANNE VANOMMESLAEGHE UGent, Eveline Snoeck UGent, Katrien Van Renterghem UGent, Dirk Van de Putte UGent and Piet Pattyn UGent (2011) OBESITY SURGERY. 21(5). p.582-587
abstract
Objective To study the long-term outcome of adjustable gastric banding in the treatment for morbid obesity. Summary background In Europe, the preference for the gastric band has declined in favor of the Roux-Y gastric bypass (RYGB). Methods Follow-up of a prospective study on a large cohort of patients after laparoscopic gastric banding (LAGB) for morbid obesity. Results Complete data were collected on 656 patients (88%) from a cohort of 745 patients. After a median follow-up of 95 months (range 60-155) the mean BMI dropped from 41.0 ± 7.3 kg/m2 to 33.2 ± 7.1 kg/m2, with a 46.2 ± 36.5% excess weight loss (EWL). A more than 50% EWL was achieved in 44% of patients. The band was still in place in 77.1% of patients, and conversion to gastric bypass after band removal was carried out in 98 (14.9%) patients, while a simple removal was done in only 52 (7.9%) patients. Band removal was more likely in women and patients with a higher BMI. Conclusions After LAGB, band removal was necessary for complications or insufficient weight loss in 24% of patients. Nearly half of the patients achieved a more than 50% EWL but in 88% a more than 10% EWL was observed. LAGB can achieve an acceptable weight loss in some patients, but the failure in one out of four patients does not allow to propose it as a first line option for the treatment of obesity.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
WEIGHT-LOSS, BARIATRIC SURGERY, DIABETES-MELLITUS, BYPASS, MORTALITY, OUTCOMES, Gastric banding, Long-term, Laparoscopy, Morbid obesity, Complications
journal title
OBESITY SURGERY
Obes. Surg.
volume
21
issue
5
pages
582 - 587
Web of Science type
Article
Web of Science id
000289114300007
JCR category
SURGERY
JCR impact factor
3.286 (2011)
JCR rank
17/198 (2011)
JCR quartile
1 (2011)
ISSN
0960-8923
DOI
10.1007/s11695-010-0341-6
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1250093
handle
http://hdl.handle.net/1854/LU-1250093
date created
2011-05-31 21:46:31
date last changed
2011-06-06 08:50:20
@article{1250093,
  abstract     = {Objective To study the long-term outcome of adjustable gastric banding in the treatment for morbid obesity. Summary background In Europe, the preference for the gastric band has declined in favor of the Roux-Y gastric bypass (RYGB). Methods Follow-up of a prospective study on a large cohort of patients after laparoscopic gastric banding (LAGB) for morbid obesity. Results Complete data were collected on 656 patients (88\%) from a cohort of 745 patients. After a median follow-up of 95 months (range 60-155) the mean BMI dropped from 41.0 {\textpm} 7.3 kg/m2 to 33.2 {\textpm} 7.1 kg/m2, with a 46.2 {\textpm} 36.5\% excess weight loss (EWL). A more than 50\% EWL was achieved in 44\% of patients. The band was still in place in 77.1\% of patients, and conversion to gastric bypass after band removal was carried out in 98 (14.9\%) patients, while a simple removal was done in only 52 (7.9\%) patients. Band removal was more likely in women and patients with a higher BMI. Conclusions After LAGB, band removal was necessary for complications or insufficient weight loss in 24\% of patients. Nearly half of the patients achieved a more than 50\% EWL but in 88\% a more than 10\% EWL was observed.  LAGB can achieve an acceptable weight loss in some patients, but the failure in one out of four patients does not allow to propose it as a first line option for the treatment of obesity.},
  author       = {Van Nieuwenhove, Yves and Ceelen, Wim and Stockman, Anneleen and VANOMMESLAEGHE, HANNE and Snoeck, Eveline and Van Renterghem, Katrien and Van de Putte, Dirk and Pattyn, Piet},
  issn         = {0960-8923},
  journal      = {OBESITY SURGERY},
  keyword      = {WEIGHT-LOSS,BARIATRIC SURGERY,DIABETES-MELLITUS,BYPASS,MORTALITY,OUTCOMES,Gastric banding,Long-term,Laparoscopy,Morbid obesity,Complications},
  language     = {eng},
  number       = {5},
  pages        = {582--587},
  title        = {Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity},
  url          = {http://dx.doi.org/10.1007/s11695-010-0341-6},
  volume       = {21},
  year         = {2011},
}

Chicago
Van Nieuwenhove, Yves, Wim Ceelen, Anneleen Stockman, HANNE VANOMMESLAEGHE, Eveline Snoeck, KATRIEN VAN RENTERGHEM, Dirk Van de Putte, and Piet Pattyn. 2011. “Long-term Results of a Prospective Study on Laparoscopic Adjustable Gastric Banding for Morbid Obesity.” Obesity Surgery 21 (5): 582–587.
APA
Van Nieuwenhove, Y., Ceelen, W., Stockman, A., VANOMMESLAEGHE, H., Snoeck, E., VAN RENTERGHEM, K., Van de Putte, D., et al. (2011). Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity. OBESITY SURGERY, 21(5), 582–587.
Vancouver
1.
Van Nieuwenhove Y, Ceelen W, Stockman A, VANOMMESLAEGHE H, Snoeck E, VAN RENTERGHEM K, et al. Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity. OBESITY SURGERY. 2011;21(5):582–7.
MLA
Van Nieuwenhove, Yves, Wim Ceelen, Anneleen Stockman, et al. “Long-term Results of a Prospective Study on Laparoscopic Adjustable Gastric Banding for Morbid Obesity.” OBESITY SURGERY 21.5 (2011): 582–587. Print.