Who Benefits from Gastric Banding?

Bueter, Marco; Thalheimer, Andreas; Lager, Caroline; Schowalter, Marion; Illert, B.; Fein, Martin

doi:10.1007/s11695-007-9263-3

Cited by 40 publications

(52 citation statements)

References 19 publications

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“…In agreement with some 12,[16][17][18]49 but not all prospective studies 21,22 , however, these binge eating participants did not have less successful long-term BMI outcomes. As mentioned above, comparison with previous research is difficult due to differences in methodology.…”

Section: Discussionsupporting

confidence: 84%

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Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Lapidoth

Ghaderi

Norring

2011

Eating Weight Disord.

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Objective Previous studies that have investigated the relationship between binge eating and the long-term outcome of bariatric surgery have shown mixed results. Does binge eating before or after bariatric surgery affect long-term BMI, health-related quality of life (HRQL), or psychopathology after surgery? The objective of the present study was to address these questions to determine the extent to which binge eating needs to be addressed in the context of bariatric surgery Methods. We assessed 173 bariatric patients before and three years after weight loss surgery with regard to weight, binge eating, HRQL, and psychopathology. Results. Binge eating habits before and after weight loss surgery were unrelated to the long-term BMI outcome. Binge eating after weight loss surgery was associated with more psychopathology and a lower HRQL. Conclusion. Binge eating before or after weight loss surgery does not predict long-term BMI outcome. Therefore, exclusions from surgery for this reason alone are difficult to motivate. However, results show that binge eating after weight loss surgery is common and is associated with both more psychopathology and a lower HRQL. The poor psychological health status of patients that binge eat after weight loss surgery motivates studies with longer follow-up periods to investigate whether post-surgical binge eating might increase the vulnerability to future weight regain and complications at time points beyond three years. The high rate of binge eating after surgery and its negative association with the HRQL and psychopathology indicate that we need to be observant of the occurrence and potential effects of binge eating in the context of bariatric surgery. BACKGROUND

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Section: Discussionsupporting

confidence: 84%

“…Studies of how eating disorders or binge eating are associated with weight loss outcome have shown mixed results. While some have shown no weight-loss difference 7,[16][17][18][19][20] in binge eaters, others have shown less weight loss 12,21,22 , more weight regain 11,19 , or even more weight-loss in binge eaters 7 .…”

mentioning

confidence: 99%

Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Lapidoth

Ghaderi

Norring

2011

Eating Weight Disord.

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“…In addition, there is no consensus currently on patient selection criteria for LAGB. 6,7 These controversies are reflected in that not all Canadian provinces fund LAGB as a treatment for obesity.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of the adjustable gastric band in a publicly funded obesity program

Chiu

Birch²,

Shi³

et al. 2013

cjs

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Background: Laparoscopic adjustable gastric banding (LAGB) is considered a safe and effective treatment for severe obesity and obesity-related comorbidities. We sought to examine the outcome of LAGB delivered through a Canadian publicly funded obesity program. Methods:We retrospectively analysed the cases of patients who underwent LAGB within a comprehensive, multidisciplinary, publically funded obesity program.Results: A total of 178 patients underwent LAGB. Mean percentage total body weight loss at 1, 2 and 3 years was 15.8%, 20.7% and 20.3%, respectively. The most common short-term complication was postoperative nausea (19%). The mediumterm complications included band migration (5.6%) and port site complications, band leakage and incisional hernia at 1% each. The reoperation rate was 4.5%. The mean surgery duration was 56 minutes and the mean length of stay was 1.4 days. The average numbers of clinic visits and band adjustments were highest in the first year. The most common investigation for postoperative symptoms was fluoroscopy (86%). An outcome comparison between the 2 generations of the REALIZE gastric band was inconclusive, requiring further data collection. Conclusion:Publicly funded LAGB results in effective weight loss and acceptable safety over the short term. Our patients may represent a distinct population that differs from that in the private system. Long-term data are necessary to determine the cost-effectiveness of this important surgical option for severe obesity.Contexte : L'anneau gastrique ajustable posé par laparoscopie (AGAL) est considéré comme un traitement sécuritaire et efficace contre l'obésité sévère et les comorbidités connexes. Nous avons cherché à analyser le résultat de la pose d'un AGAL réalisée dans le cadre d'un programme public de lutte contre l'obésité au Canada.

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“…Jos efektyvumas patvirtintas daugelyje studijų, tačiau ne visiems ligoniams pasiekiamas norimas gydymo rezultatas [4][5][6]. Radome tik pavienių studijų, kuriose nagrinėta priešoperacinių veiksnių įtaka prognozuojant kūno masės mažėjimą po SARJO [7][8][9][10][11][12]. Šio darbo tikslas -priešoperacinių veiksnių, leidžiančių prognozuoti perteklinės kūno masės sumažėjimą, paieška.…”

Section: įVadasunclassified

“…SARJO efektyvumas patvirtintas daugelyje studijų, tačiau ne visiems ligoniams pasiekiamas norimas gydymo rezultatas. Tik pavieniai tyrimai nagrinėjo priešoperacinių veiksnių įtaką kūno masės mažėjimui po SARJO [7][8][9][10][11][12].…”

Section: Diskusijaunclassified

Priešoperacinių veiksnių įtaka prognozuojant kūno masės sumažėjimą praėjus penkeriems metams po nutukimo gydymo skrandžio apjuosimo reguliuojama juosta operacijos: perspektyvusis atsitiktinių imčių tyrimas

Juodeikis¹,

Brimas²

2017

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Priešoperacinių veiksnių įtaka prognozuojant kūno masės sumažėjimą praėjus penkeriems metams po nutukimo gydymo skrandžio apjuosimo reguliuojama juosta operacijos: perspektyvusis atsitiktinių imčių tyrimas BackgroundLaparoscopic adjustable gastric banding (LAGB) is used as a bariatric procedure for more than 30 years, but there is still insuf ficient data regarding postoperative weightloss predicting factors. ObjectiveWe carried out a prospective randomized study to compare two different bands (SAGB and Minimizer Extra) and aimed to find weightloss predicting factors. Methods A total of 103 morbidly obese patients underwent LAGB from January 2009 to January 2010. The SAGB was used in 49 and MiniMizer Extra in 54 patients. Weight loss was evaluated after 1 and 5 years. Factors which significantly correlated with per centage excess weight loss (%EWL) were used to build predicting regression models. ResultsThe mean patient age was 45.9 ± 11.7 years, and mean preoperative body mass index (BMI) was 47.5 ± 7.3 kg/m 2 . A total of 90 (87.3%) patients completed the 5year followup. The mean overall excess weight loss after 5 years was 47.3 ± 29.7%, and there was no difference between SAGB and MiniMizer bands (47.3% vs 50.3%; p = 0.14). After 1 year, BMI ≤ 47 MiniMizer, pa tients demonstrated better weight loss results. %EWL was also significantly greater in >40yearold MiniMizer group patients (p =0.012) and remained significantly higher after 5 years (p = 0.035). ConclusionsIn > 40yearold patient group better %EWL can be achieved by using MiniMizer Extra bands compared to SAGB. The con structed prognostic models could be used to predict %EWL after application of SAGB and MiniMizer bands.

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Who Benefits from Gastric Banding?

Abstract: Patients with a lower excess body weight who improve especially their eating behavior after surgery have the highest chance of success after LAGB.

Cited by 40 publications

References 19 publications

Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Outcomes of the adjustable gastric band in a publicly funded obesity program

Priešoperacinių veiksnių įtaka prognozuojant kūno masės sumažėjimą praėjus penkeriems metams po nutukimo gydymo skrandžio apjuosimo reguliuojama juosta operacijos: perspektyvusis atsitiktinių imčių tyrimas

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