Advanced search
1 file | 183.15 KB

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

(2011) OBESITY SURGERY. 21(5). p.582-587
Author
Organization
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.
Keywords
WEIGHT-LOSS, BARIATRIC SURGERY, DIABETES-MELLITUS, BYPASS, MORTALITY, OUTCOMES, Gastric banding, Long-term, Laparoscopy, Morbid obesity, Complications

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 183.15 KB

Citation

Please use this url to cite or link to this publication:

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.
@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},
  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},
}

Altmetric
View in Altmetric
Web of Science
Times cited: