Laparoscopic Adjustable Gastric Banding: A 10-Year Single-Centre Experience of 575 Cases with Weight Loss Following Surgery

Al-Hamdani, Ali; Wilson, Michael; Jones, Trevor; Taqvi, Laura; Gonsalves, P.; Boyle, M.; Mahawar, Kamal; Balupuri, S.; Small, Peter

doi:10.1007/s11695-012-0645-9

Cited by 46 publications

(35 citation statements)

References 26 publications

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“…Our findings were consistent with those obtained in other studies describing a long-term survey after AGB. Thus, at 10 years, the mean EWL is 32% in our study, while other studies demonstrated better results at long-term with a mean EWL from 40 to 50% [10,11,12] . The initial weight loss (48% in our study) was comparable to other studies [13] ), as its subsequent ascension is well known [14,15] .…”

Section: Discussioncontrasting

confidence: 58%

Ten-Year Weight Loss Evaluation After Adjustable Gastric Banding in Severely and Morbidly Obese Patients

Malisev¹

2016

Journal of Gastroenterology and Hepatology Research

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Obesity is a major problem of healthcare systems in occidental countries. Adjustable gastric banding is a surgical technique used in France. There are few studies reporting the performance of this procedure in the long-term (more than 10 years). We evaluated the long-term results of this technique on excess weight loss (EWL) in a unicenter retrospective study. Ninety-seven patients undergoing an adjustable gastric banding procedure in our center from 1999 to 2003 were included. The mean age was 35 ± 9 years. There were 90 female and 7 male patients. The pre-operative mean Body Mass Index (BMI) was 43.02 ± 5.7 kg/m 2 . After surgery, the BMI decreased progressively to reach its minimal value at 22 months, with a mean of 32.96 ± 7.4 kg/m 2 . At 10 years, the BMI increases progressively to achieve a mean of 36.75 ± 7.42 kg/m 2 . The rate of banding removal was 35%, follow-up -73%. Our analysis could not identify a factor that was able to predict success or failure. Better selection criteria and rapid tactic changes (revisional procedures) in cases of insufficient weight loss could improve the performance of this surgical technique.

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Section: Discussioncontrasting

confidence: 58%

Ten-Year Weight Loss Evaluation After Adjustable Gastric Banding in Severely and Morbidly Obese Patients

Malisev¹

2016

Journal of Gastroenterology and Hepatology Research

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“…Recently, in their 10-year single-centre experience in Sunderland, Alhamdani et al reported a median %EWL of 40% at 5 years following LAGB among their 575 patients but there was no comment on sex or ethnicity. 25 DeMaria et al reported 12% EWL and 44% EWL in AfroCaribbean and Caucasian patients respectively at three years following LAGB (p<0.05).…”

Section: Discussionmentioning

confidence: 94%

“…15 In a review from 2012, remission of diabetes mellitus was more frequent in Afro-Caribbean than in Caucasian patients following bariatric surgery although this was not statistically significant. 25 Our study did not assess resolution in co-morbidities.…”

Section: Study Limitationsmentioning

confidence: 93%

Comparison of weight loss achieved after laparoscopic adjustable gastric banding between Afro-Caribbean, Caucasian and South Asian adult female patients in a London bariatric centre

Phoenix

Penney

Cocker

et al. 2013

annals

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Introduction It has been shown that following laparoscopic adjustable gastric banding (LAGB) procedures, Afro-Caribbeans achieve poorer weight loss compared with Caucasians. The reasons for this are multifactorial. However, studies have been based on mainly female patients from the US and none to date have been from the UK. Furthermore, South Asians have not previously been compared. The aim of this study was to compare excess weight loss percentage (%EWL) outcomes up to five years following LAGB in Afro-Caribbean, Caucasian and South Asian females in a London-based teaching hospital. Methods An analysis was carried out of prospectively collected data of female patients aged ≥16 years of Afro-Caribbean, Caucasian or South Asian origin who underwent LAGB between October 2000 and December 2011. Data included demographics, co-morbidities and anthropometrics. Results Overall, 596 females underwent LAGB; 316 Caucasians (53.0%), 64 Afro-Caribbeans (10.8%) and 27 South Asians (4.5%) formed the majority of those who disclosed ethnicities. Age and initial body mass index (BMI) were comparable between Afro-Caribbeans and Caucasians (mean BMI: 47.3kg/m2 [standard deviation [SD]: 7.5kg/m2, range: 37.0–78.3kg/m2] vs 45.8kg/m2 [SD: 7.1kg/m2, range: 24.7–79.8kg/m2], p=0.225). A non-significant trend suggested less %EWL in Afro-Caribbeans than in Caucasians at 6 months, and at 1, 2, 3, 4 and 5 years (21.4% vs 24.4%, p=0.26; 27.4% vs 31.3%, p=0.27; 33.0% vs 36.8%, p=0.15; 39.0% vs 45.8%, p=0.14; 34.2% vs 45.3%, p=0.16; 37.1% vs 47.6%, p=0.67). South Asians and Caucasians had a similar age and preoperative BMI (mean BMI: 43.6kg/m2 [range: 32.5–59.1kg/m2] vs 45.8kg/m2 [range: 24.7–79.8kg/m2], p=0.08). The %EWL was greatest at three and four years among South Asians although numbers were small (n=4 and n=3 respectively). Conclusions A non-significant trend suggests poorer weight loss outcomes in Afro-Caribbeans compared with Caucasians in our cohort. Discussion of realistic weight loss outcomes as well as enhanced follow-up and dietary modifications are required for Afro-Caribbean patients. Low numbers prevent definitive conclusions regarding South Asians. Multicentre studies across England are required to better define any differences between ethnicities.

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“…In all cases with slippage, frequent vomiting both caused by swallowing large portions of food or self-induced vomiting was observed. The literature reviews revealed a 1-22% of band slippages post LAGB operation [8][9][10][11][12][13][14]. Thirteen patients were managed conservatively by complete emptying of the gastric band while prescribing Proton Pump Inhibitors simultaneously for about 12 weeks.…”

Section: Discussionmentioning

confidence: 99%

Adjustable Gastric Banding for Morbid Obesity; A Report from Iran

Hashemzadeh¹

2013

TOOBESJ

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Abstract:Background: Laparoscopic adjustable gastric banding (LAGB) was considered as one of the effective, less invasive methods which could help the obese patients to achieve their optimal weight without regaining the lost one. The recent article is a report of 165 patients who had undergone LAGB, while discussing the rate of their complications. Results: The patients' mean initial BMI was 37±0.3 kg/m 2 which became 29.4±0.3 kg/m 2 after LAGB. The mean weight reduction was 21.4±0.9 kg during the 16.9±0.9 months follow-up period. Morbidity rate requiring reoperation was 9% (slippage, erosion and phrenic nerve irritation. Thirty-nine patients experienced complications, including 21 slippages, 11 port infections, six erosions and one phrenic irritation.Conclusions: Despite the complications being reported, LAGB is still a safe method with an acceptable efficacy in losing weight. To our knowledge, the important factor to obtain the appropriate response is selecting cases precisely. The complications could be managed by surgeons who are experienced in upper-gastrointestinal laparoscopic surgery. Otherwise patients need to be operated through laparotomy or referred to the bariatric surgeons.

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Laparoscopic Adjustable Gastric Banding: A 10-Year Single-Centre Experience of 575 Cases with Weight Loss Following Surgery

Cited by 46 publications

References 26 publications

Ten-Year Weight Loss Evaluation After Adjustable Gastric Banding in Severely and Morbidly Obese Patients

Ten-Year Weight Loss Evaluation After Adjustable Gastric Banding in Severely and Morbidly Obese Patients

Comparison of weight loss achieved after laparoscopic adjustable gastric banding between Afro-Caribbean, Caucasian and South Asian adult female patients in a London bariatric centre

Adjustable Gastric Banding for Morbid Obesity; A Report from Iran

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