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Obesity Surgery
Published in: Obesity Surgery 12/2007

01-12-2007

Who Benefits from Gastric Banding?

Authors: Marco Bueter, Andreas Thalheimer, Caroline Lager, Marion Schowalter, Bertram Illert, Martin Fein

Published in: Obesity Surgery | Issue 12/2007

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Abstract

Background

In the present study, criteria were investigated to predict major benefit after laparoscopic adjustable gastric banding (LAGB).

Materials and Methods

85 morbidly obese patients were operated with LAGB between 1999 and 2005. Seventy-one of these patients were analyzed according to several possible predictive characteristics for success as the primary endpoint. Success was defined as excess body weight loss (EBWL) >50% and no band removal. Median follow-up was 27 months (range 8–90 months).

Results

In total, median EBWL was 43% (−41 to 171.5%) with a decrease in BMI of 8.0 kg/m2 (−9 to 35 kg/m2). Success rate was 37% (n = 26). These patients were compared to all other patients (n = 45). Significant success predictors were baseline absolute BW, EBW, BMI (p < 0.01), BMI with a threshold value of 50 kg/m2 (p = 0.02), and female sex (p = 0.02) as well as postoperative vomiting (p = 0.02), eating behavior and physical activity after LAGB (p < 0.01). Baseline EBW and change in eating behavior after surgery were identified as independent predictors in multivariate analysis.

Conclusion

Patients with a lower excess body weight who improve especially their eating behavior after surgery have the highest chance of success after LAGB.
Literature
1.
Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002;288:1723–7.PubMedCrossRef
2.
Goodrick GK, Foreyt JP. Why treatments for obesity don’t last. J Am Diet Assoc 1991;91:1243–7.PubMed
3.
4.
O’Brien PE, Brown WA, Smith A, et al. Prospective study of a laparoscopically placed, adjustable gastric band in the treatment of morbid obesity. Br J Surg 1999;86:113–8.PubMedCrossRef
5.
Busetto L, Segato G, De Marchi F, et al. Outcome predictors in morbidly obese recipients of an adjustable gastric band. Obes Surg 2002;12:83–92.PubMedCrossRef
6.
Grace DM. Gastric restriction procedures for treating severe obesity. Am J Clin Nutr 1992;55:556S–9S.PubMed
7.
van Hout GC, van OI, van Heck GL. Psychological profile of the morbidly obese. Obes Surg 2004;14:579–88.PubMedCrossRef
8.
Bueter M, Maroske J, Thalheimer A, et al. Short- and long-term results of laparoscopic gastric banding for morbid obesity. Langenbeck’s Arch Surg 2007 (in press).
9.
Freys SM, Tigges H, Heimbucher J, et al. Quality of life following laparoscopic gastric banding in patients with morbid obesity. J Gastrointest Surg 2001;5:401–7.PubMedCrossRef
10.
Belachew M, Belva PH, Desaive C. Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity. Obes Surg 2002;12:564–8.PubMedCrossRef
11.
Dargent J. Laparoscopic adjustable gastric banding: lessons from the first 500 patients in a single institution. Obes Surg 1999;9:446–52.PubMedCrossRef
12.
Goldstein DJ. Beneficial health effects of modest weight loss. Int J Obes Relat Metab Disord 1992;16:397–415.PubMed
13.
Hall JC, Watts JM, O’Brien PE, et al. Gastric surgery for morbid obesity. The Adelaide Study. Ann Surg 1990;211:419–27.PubMedCrossRef
14.
Weiner R, Datz M, Wagner D, et al. Quality-of-life outcome after laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 1999;9:539–45.PubMedCrossRef
15.
Yale CE, Weiler SJ. Weight control after vertical banded gastroplasty for morbid obesity. Am J Surg 1991;162:13–8.PubMedCrossRef
16.
DeMaria EJ, Sugerman HJ, Meador JG, et al. High failure rate after laparoscopic adjustable silicone gastric banding for treatment of morbid obesity. Ann Surg 2001;233:809–18.PubMedCrossRef
17.
Berrevoet F, Pattyn P, Cardon A, et al. Retrospective analysis of laparoscopic gastric banding technique: short-term and mid-term follow-up. Obes Surg 1999;9:272–5.PubMedCrossRef
18.
Forsell P, Hallerback B, Glise H, et al. Complications following Swedish adjustable gastric banding: a long-term follow-up. Obes Surg 1999;9:11–6.PubMedCrossRef
19.
Lise M, Favretti F, Belluco C, et al. Stoma adjustable silicone gastric banding: results in 111 consecutive patients. Obes Surg 1994;4:274–8.PubMedCrossRef
20.
De Panfilis C, Cero S, Torre M, et al. Utility of the temperament and character inventory (TCI) in outcome prediction of laparoscopic adjustable gastric banding: preliminary report. Obes Surg 2006;16:842–7.PubMedCrossRef
21.
Lindroos AK, Lissner L, Sjostrom L. Weight change in relation to intake of sugar and sweet foods before and after weight reducing gastric surgery. Int J Obes Relat Metab Disord 1996;20:634–43.PubMed
22.
Busetto L, Valente P, Pisent C, et al. Eating pattern in the first year following adjustable silicone gastric banding (ASGB) for morbid obesity. Int J Obes Relat Metab Disord 1996;20:539–46.PubMed
Metadata
Title
Who Benefits from Gastric Banding?
Authors
Marco Bueter
Andreas Thalheimer
Caroline Lager
Marion Schowalter
Bertram Illert
Martin Fein
Publication date
01-12-2007
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 12/2007
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-007-9263-3

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