Initial Body Mass Index on Weight Loss Among Obese Filipino Adults Who Underwent Laparoscopic Adjustable Gastric Banding: A Cohort Study

Abstract

Objective. To determine the effect of laparoscopic adjustable gastric banding (LAGB) on weight loss and the association between initial body mass index (BMI) and successful weight loss, defined as >50% excess weight loss (EWL) among obese Filipino adults at St. Luke's Medical Center.Methodology. Data from 97 patients who were at least 18 years old at the time of gastric banding were reviewed retrospectively. Patient follow-up was poor 2 years post-surgery, which precluded analysis of follow-up data beyond 2 years. Changes in weight loss parameters from baseline to the different observation periods were carried out using paired t-test. To determine the association of different factors with success in weight loss, Independent t-test and Chisquare tests were used. A p-value ≤0.05 was considered significant.Results. Majority of the patients were female (61%) and Southeast Asian (77%). Ages ranged from 18 to 68 years. Mean BMI was 44.1 ± 0.1 kg/m 2 and mean excess weight was 61.4 ± 26.5 kg. Excess weight loss of 43.84 ± 25.09% and BMI reduction of 21.54 ± 13.39% were attained at 2 years. Lower initial BMI with a mean of 38.12±3.28 kg/m 2 was associated with successful weight loss, 1 year after gastric banding (p<0.001).Conclusion. Patients attained 43.84% EWL 2 years after gastric banding. Those with higher initial BMI were less likely to achieve successful weight loss 1 year after gastric banding.

Impact of anti‐obesity medication initiation and duration on weight loss in a comprehensive weight loss programme

“…This was not a randomized clinical trial and was not restricted to one medication; rather, it is a study of the real‐world application of obesity medications where a clinician works to find the optimal medications for a patient based on past medical history, contraindications, coverage and preference. In a handful of studies, higher initial BMI is associated with less weight loss after surgical interventions . However, the impact of initial BMI on AOM efficacy has not been studied.…”

Bariatric Surgery in Cebu, Philippines: Current Status and Initial Experience With Laparoscopic Sleeve Gastrectomy

“…However, our local surgical societies have yet to come up with guidelines for the utilization of bariatric surgery in our setting. There is a great need for updating and/or modifying the current sets of recommendations in the Philippines to arrive at an integrated approach to treat obesity based on available local data (Table 4 ) and resources [ 7 , 8 ].…”

“…However, our local surgical societies have yet to come up with guidelines for the utilization of bariatric surgery in our setting. There is a great need for updating and/or modifying the current sets of recommendations in the Philippines to arrive at an integrated approach to treat obesity based on available local data (Table 4) and resources [7,8]. In our setting, the average cost (excluding preoperative evaluation and healthcare professional fees) for an LSG is 191,409 PHP (equivalent to 4,000 USD as of this writing).…”

“…While LSG has become the most commonly utilized bariatric procedure in the country, local data on its outcomes are lacking. To the best of our knowledge, there have been only two publications reporting on obesity surgery in the Philippines since 2013 [ 7 , 8 ]. They analyzed the results of LAGB and compared it with RYGB among different age groups in a private tertiary hospital.…”