Changes in Body Image Disturbance in Morbidly Obese Patients 1 Year after Laparoscopic Adjustable Gastric Banding

Panfilis, Chiara De; Cero, Sara; Torre, Mariateresa; Salvatore, Paola; Dall’Aglio, Elisabetta; Adorni, A; Maggini, Carlo

doi:10.1007/s11695-007-9145-8

Cited by 34 publications

(45 citation statements)

References 37 publications

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“…Furthermore, complete resolution of T2D occurred in 78.1% of patients, verified by improved biochemical parameters (27). Likewise dyslipidemia improves in 70%, hypertension in 61.7%, and obstructive sleep apnea in 85.7% (26); cancer incidence is significantly reduced, attributable to risk reduction in women but not men (108); and psychosocial well-being is enhanced (44,72,197). Despite surgical risk, bariatric surgery for morbid obesity is robustly associated with decreased overall mortality (3,181).…”

Section: Failure Of Medical and Success Of Surgical Weight Lossmentioning

confidence: 99%

Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery

Scott

Batterham

2011

American Journal of Physiology-Regulatory, Integrative and Comp

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Obesity increases the likelihood of diseases like type 2 diabetes (T2D), heart disease, and cancer, and is one of the most serious public health problems of this century. In contrast to ineffectual prevention strategies, lifestyle modifications, and pharmacological therapies, bariatric surgery is a very effective treatment for morbid obesity and also markedly improves associated comorbidities like T2D. However, weight loss and resolution of T2D after bariatric surgery is heterogeneous and specific to type of bariatric procedure performed. Conventional mechanisms like intestinal malabsorption and gastric restriction do not fully explain this, and potent changes in appetite and the enteroinsular axis, as a result of anatomical reorganization and altered hormonal, neuronal, and nutrient signaling, are the portended cause. Uniquely these signaling changes appear to override vigorous homeostatic defenses of stable body weight and compelling self-gratifying motivations to eat and to reverse defects in beta-cell function and insulin sensitivity. Here we review mechanisms of weight loss and T2D resolution after Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy bariatric surgery, two markedly different procedures with robust clinical outcomes.

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Section: Failure Of Medical and Success Of Surgical Weight Lossmentioning

confidence: 99%

Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery

Scott

Batterham

2011

American Journal of Physiology-Regulatory, Integrative and Comp

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“…All studies were observational with respect to eating behavior outcomes, with three studies (four articles) classified as level III-2 evidence [28][29][30][31], one as level III-3 [32] and eight studies (nine articles) as level IV [33][34][35][36][37][38][39][40][41] according to NHMRC guidelines. Two cross-sectional studies [37,42] did not qualify for an evidence rating based on current guidelines.…”

Section: Description and Critical Appraisal Of Included Studiesmentioning

confidence: 99%

“…Despite the observational nature of studies, most articles reported that subjects received routine follow-up care [29-36, 38, 39, 41]; however, detail regarding nature and frequency of followup varied. Only Colles et al [34] summarized postoperative counseling provided for eating behaviors, with other studies not providing any description of behavioral advice provided during follow-up care [28][29][30][31][32][33][36][37][38][39][40][41][42][43].…”

Section: Description and Critical Appraisal Of Included Studiesmentioning

confidence: 99%

Changes in Eating Behavior After Laparoscopic Adjustable Gastric Banding: A Systematic Review of the Literature

2010

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This systematic review evaluates the current evidence base for eating behavior changes after laparoscopic adjustable gastric banding (LAGB). A literature search from 1990 to February 2010 was conducted to identify original studies that assessed eating behavior in adults who have undergone LAGB. Sixteen articles (14 separate studies) met inclusion criteria. Although strength of the evidence base was limited by observational study designs and methodological weaknesses, results suggest that positive changes in eating behavior occur after surgery, including reduced over-eating in response to emotional and situational cues. There is some evidence to suggest that uncontrolled eating behaviors persist in some individuals, and that this may be problematic for weight loss after surgery. Few studies examined the relationship between changes in eating behavior and weight loss; thus, optimal behavioral strategies for promoting positive weight outcomes remain unclear. Further interventional research addressing the inherent limitations of the current-evidence base is required to guide development of evidence-based management guidelines for LAGB in future.

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“…2 The threat to public health services is unparalleled and obesity has become a socioeconomic time bomb as a result of its well known cardiovascular, metabolic, reproductive, neoplastic, musculoskeletal and psychosocial complications. 3,4 The target set by the United Kingdom House of Commons Health Select Committee in 1992 was 'for fewer than 6% of men and 8% of women to be obese by 2005'. 5 The inadequacies of current treatments for obesity are illustrated irrefutably by the current figures, which stand at over 25% for women and 23% for men in the UK.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 In addition, psychological disorders associated with obesity improve, alongside both quality of life and economic productivity. 4,15,16 Particularly impressive is the rapid and complete resolution of type 2 diabetes in B80% of patients who undergo RYGB. Interestingly, this resolution seems to be independent of weight loss, and occurs within days of surgery.…”

Section: Introductionmentioning

confidence: 99%

The mechanisms of weight loss after bariatric surgery

Tadross

Roux

2009

Int J Obes

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Studies of lifestyle advice and dietary intervention show that although moderate, clinically significant weight loss is achievable and results in concomitant improvements in comorbidities, it is invariably transient and recidivism is almost universal. Pharmacotherapeutic options do show promise but are currently inadequate to address many obesity-associated comorbidities. Bariatric surgery consistently results in considerable improvement in weight, alongside a remarkable amelioration in comorbid conditions. Here we describe the physiology of energy balance and the putative mechanisms of change in weight set point following bariatric surgical procedures such as Roux-en-Y gastric bypass and adjustable gastric banding.

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Changes in Body Image Disturbance in Morbidly Obese Patients 1 Year after Laparoscopic Adjustable Gastric Banding

Abstract: LAGB may ameliorate some BID aspects in morbidly obese patients, and an improvement in eating behaviors may contribute to this effect.

Cited by 34 publications

References 37 publications

Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery

Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery

Changes in Eating Behavior After Laparoscopic Adjustable Gastric Banding: A Systematic Review of the Literature

The mechanisms of weight loss after bariatric surgery

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