scholarly journals Laparoscopic Adjustable Gastric Banding in Severely Obese Adolescents

JAMA ◽  
2010 ◽  
Vol 303 (6) ◽  
pp. 519 ◽  
Author(s):  
Paul E. O’Brien ◽  
Susan M. Sawyer ◽  
Cheryl Laurie ◽  
Wendy A. Brown ◽  
Stewart Skinner ◽  
...  
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Adjustable Gastric Banding ◽  
Obese Adolescents ◽  
Severely Obese

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

2020 ◽  
Vol 30 (8) ◽  
pp. 2913-2919
Author(s):  
Bianca M. Leca ◽  
Uzma Khan ◽  
Jenny Abraham ◽  
Louise Halder ◽  
Emma Shuttlewood ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Adjustable Gastric Banding ◽  
Significant Drop ◽  
Global Pandemic ◽  
Severely Obese ◽  
Treatment Of Obesity ◽  
Successful Weight Loss ◽  
The Impact

Abstract 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/m2) 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/m2 vs 42.3 ± 9.2 kg/m2, p < 0.05, 55.5 ± 19.1 mmol/mol vs 45.8 ± 13.7 mmol/mol, p < 0.05, and 2.2 ± 1.7 mmol/l vs 1.5 ± 0.6 mmol/l). Better outcomes were seen in younger patients, with lower duration of diabetes before surgery, and lower pre-operative systolic blood pressure. Conclusions Younger age, lower degree of obesity, and lower severity of comorbidities at the time of surgery can be important predictors of successful weight loss, making this group of patients the ideal candidates for LAGB.

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