LAP-BAND for BMI 30–40: 5-year health outcomes from the multicenter pivotal study

Dixon, John; Eaton, Laura; Thouvenot, Vincent; Michaelson, Robert

doi:10.1038/ijo.2015.156

Cited by 20 publications

(18 citation statements)

References 50 publications

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“…Improvement in general well-being is observed as early as 3 to 6 months after surgery [31,34,35]. While an initial increase in quality of life with a decrease in bodily pain is reported in the first year after surgery, contradictory observations are made in the few studies on larger cohorts of patients with specification of the pain location.…”

Section: Discussionmentioning

confidence: 88%

Peri-operative pain in patients experiencing bariatric surgery

Kumar¹,

Soekarman²,

Singh³

et al. 2017

Med Clin Arch

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A review of the literature was performed to identify follow-up studies on pain and bariatric surgery (gastric band, gastric sleeve or R-en-Y gastric bypass) as intervention. The main objective of this study was to find information on the prevalence of chronic pain in patients undergoing any of the mentioned surgical techniques and the incidence of chronic postsurgical pain after bariatric surgery.16 studies were included for further analysis with over 2000 subjects. 2/3 of the information was on bypass surgery. "Short term" studies with data on pain within 3 months after surgery were randomized controlled trials (RCTs) comparing surgical techniques or analgesia. Pre-operative pain status had not been documented. However, peri-operative pain management was reported in detail. In 8 observational studies, pain data were available exceeding 3 months after surgery ("long term" studies). While pre-operative pain data were reported in the latter studies, in over half the anatomic location of the pain had not been specified. An accurate estimation of the incidence of chronic postsurgical pain after bariatric surgery was not possible based on the available data. The number of comparable studies was low and the anatomic location of the pain had not been specified. Data on pain between 1 week and 6 months after surgery are lacking. This period is important, since it contains the time point after which the measured pain can be defined as chronic.

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Section: Discussionmentioning

confidence: 88%

Peri-operative pain in patients experiencing bariatric surgery

Kumar¹,

Soekarman²,

Singh³

et al. 2017

Med Clin Arch

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show abstract

“…On February 16, 2011, the FDA granted approval for an extension of the indication to lower the BMI cutoff to 30 kg/m 2 in individuals with an obesity‐associated comorbid condition. The full 5‐year follow‐up of this lower‐BMI study cohort showed durable weight loss in association with improvement in patient‐reported outcomes, comorbidity change, and a much lower band explant rate of 12.1% compared with the historic 39.4%.…”

Section: Introductionmentioning

confidence: 76%

“…This study confirmed the extensive literature indicating clinically important improvement in quality of life following LBS surgery. The most significant and reproducible effect was the sustained community normalization of generic quality of life scores of the SF‐12 and the SF‐36 in cohorts having clearly impaired physical and mental summary scores at baseline . The Swedish Obese Subjects study demonstrated sustained benefit at 10 years .…”

Section: Discussionmentioning

confidence: 93%

Health Outcomes and Explant Rates After Laparoscopic Adjustable Gastric Banding: A Phase 4, Multicenter Study over 5 Years

Dixon

Eaton²,

Curry

et al. 2017

Obesity

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“…Nevertheless, a clear improvement in psychological symptoms was found following surgery. Eleven out of 12 studies Crémieux et al 2010;Petasne Nijamkin et al 2013;Hayden et al 2014;Dixon et al 2003Dixon et al , 2015Dixon et al , 2016Morseth et al 2015;Gade et al 2015;Booth et al 2015;Sockalingam et al 2015;White et al 2015) demonstrated an improvement of depressive disorder both, with regard to prevalence and symptoms. The majority of the studies comprised a postoperative observation period that was not longer than three years.…”

Section: Depression and Anxiety Disordersmentioning

confidence: 99%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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ZusammenfassungPsychosoziale Fragen zur Adipositas-Chirurgie: was SummarySubject: In view of the epidemic increase in severe obesity and the ineffectiveness of conservative weight-loss interventions, bariatric surgery delivers compelling results for patients with class II (BMI ≥ 35 kg/m²) and class III obesity (BMI ≥ 40 kg/m²), not only in reducing weight over the long term, but also in reducing obesity-related somatic comorbidity and improving psychosocial functioning and quality of life. Investigations into the psychosocial aspects of obesity surgery have proliferated over the last 15 years, providing a huge amount of essential research data. Yet the results are partly contradictory and highly dependent on the duration of follow-up. Method: Based of a narrative review, this article provides an overview of the current status and recent developments of the reciprocal effects between bariatric surgery and psychosocial functioning. The review focused on eight domains representing important psychosomatic and psychosocial aspects of bariatric surgery. Results: Especially in cases of class II and III obesity, bariatric surgery is the only means to reduce bodyweight significantly and permanently, though they carry with them the associated risk factors of metabolic, cardiovascular, and oncological diseases. With regard to psychosocial and psychosomatic aspects, studies with a short-term catamnesis (approx. 3 years) speak in favor of an improvement in the quality of life including mental disorders. If we consider studies with longer follow-ups, however, the results are not as uniform. In particular, we observe an increase in harmful alcohol consumption, self-harm behavior, and suicide risk. Discussion: In light of mental well-being and thus also quality of life, bariatric surgery would appear to convey an elevated risk for a minority of patients. Yet identifying these patients before surgery has so far been insufficient.

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LAP-BAND for BMI 30–40: 5-year health outcomes from the multicenter pivotal study

Abstract: The LBS is safe and effective for people with BMI 30-39.9 with demonstrated improvements in weight loss, comorbidities and quality of life, and with a low explant rate through 5 years following treatment.

Cited by 20 publications

References 50 publications

Peri-operative pain in patients experiencing bariatric surgery

Peri-operative pain in patients experiencing bariatric surgery

Health Outcomes and Explant Rates After Laparoscopic Adjustable Gastric Banding: A Phase 4, Multicenter Study over 5 Years

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

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