Predictability of outcome in laparoscopic gastric banding.

Obesity Facts
Andreas ThalheimerMartin Fein

Abstract

The success rate of laparoscopic adjustable gastric banding (LAGB) in the treatment of morbid obesity is very variable.A reasonable preoperative selection of eligible patients seems to be important for a successful outcome of LAGB. In the present study, criteria were investigated to predict the outcome of LAGB. 85 morbidly obese patients were operated with LAGB between 1999 and 2005. 71 of these patients were analysed according to several possible predictive parameters of success or failure of LAGB. Success was defined as excess body weight loss(EBWL) > 50% without band removal, failure was defined as EBWL < 20% and/or band removal. Median follow-up was 27 months (range 8-90 months). After LAGB a median EBWL of 43% (-41 to 171.5%) was observed in all patients with a decrease in BMI of 8.0 kg/m2 (-9 to 35 kg/m2). The success rate after LAGB was 37%, the failure rate 19.7%. Female sex(p = 0.023), baseline weight (p = 0.024), and eating behaviour after LAGB (p = 0.008) were significant predictors of success following LAGB, whereas complications such as port dislocation and reoperation after LAGB did not have a significant impact on a successful course following LAGB. Significant predictors of failure were male sex (p = 0.038) and ...Continue Reading

Associated Clinical Trials

Citations

Aug 13, 2011·Obesity Surgery·Masha LivhitsMelinda Maggard Gibbons
Nov 8, 2013·Surgical Endoscopy·Tarik DelkoUrs Zingg
Mar 19, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Tammy KindelAlex Nagle
Apr 18, 2012·Clinical Endocrinology·Dirk WeismannBruno Allolio
Sep 18, 2015·European Eating Disorders Review : the Journal of the Eating Disorders Association·Zaida AgüeraJose M Menchón
Feb 9, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A HindleL Brennan
May 31, 2020·Eating and Weight Disorders : EWD·Marjolein M GeertsJack J M Dekker

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