Laparoscopic Adjustable Gastric Banding: Weight Loss, Co-morbidities, Medication Usage and Quality of Life at One Year

Ahroni, Jessie H.; Montgomery, Kevin F.; Watkins, Brad M.

doi:10.1381/0960892053923716

Cited by 103 publications

(72 citation statements)

References 15 publications

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“…Most research shows an improvement in Type 2 diabetes 22,23 (79%-81%), metabolic syndrome (78%) hypertension (67%), dyslipidemia (66%), reflux (66%), asthma (57%), arthritis/joint pain (70%), polycystic ovary syndrome (48%), and depression (57%). [23][24][25] Unlike the metabolic effects seen with bypass procedures such as gastric bypass and duodenal switch, the remission or improvement in conditions such as Type 2 diabetes and metabolic syndrome after AGB is believed to be because of the direct effects of weight loss. Therefore, the time required to see improvement in these conditions can vary substantially, and is dependent on the amount of weight loss.…”

Section: Resolution Of Comorbid Conditionsmentioning

confidence: 99%

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Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed in the United States and Canada. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results. The gastric band has evolved over its 35-year history into a very successful adjustable tool used to restrict food consumption and limit caloric intake. The percent of excessive weight loss after banding can range from 30%-60% and depends on the time out from surgery. Along with weight loss, there is good resolution of the co-morbid conditions that are associated with excess weight and improvements in quality of life demonstrated after banding. Nutrition and follow up are extremely important after banding to ensure good compliance and adequate weight loss. Failure to follow the postoperative diet, exercise regiment, or mechanical failure of the band can lead to failure to lose adequate weight. While there are particular early and late complications associated with this surgery, the safety profile of the AGB is very appealing when compared to other bariatric operations. As we continue to reduce the morbidity of the procedure, the simple adjustable band concept has a lot of potential to remain a primary technique of maintaining long term weight loss. In conclusion, AGB has and continues to play an important role in the treatment of morbid obesity. It offers reasonably good weight loss results with very little morbidity, and the future of the adjustable band is bright.

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Section: Resolution Of Comorbid Conditionsmentioning

confidence: 99%

“…[23][24][25] Nonetheless, there is no consensus on QoL tools that should be used, nor if the results are lasting. There definitely seems to be a "honeymoon" phase of improvement in QoL for patients, but there seems to be a drift downward in their scores after this.…”

Section: Changes In Quality Of Lifementioning

confidence: 99%

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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“…Furthermore, the existing literature is primarily quantitative in nature, using validated measures to determine changes such as quality of life [24,25], eating behaviour [26,27], improvement in comorbidities [16,28], and long-term weight loss [10]. Complications following surgery such band slippage, oesophageal dilatation and pouch dilatation have also been explored [29,30].…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Longitudinal Exploration of the Lived Experience of Laparoscopic Adjustable Gastric Banding Surgery

Jackson¹,

Hancock²,

Johnson³

2017

J Obes Chronic Dis

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Objectives: In the United Kingdom, laparoscopic adjustable gastric banding (LAGB) surgery is an option for obese individuals who meet the National Institute for Health and Clinical Excellence criteria. Despite the many benefits of LAGB, there is a paucity of literature exploring the long-term impact on individuals. The present study explored how people make sense of the experience of being banded from pre-to five years post-surgery. Design:A prospective longitudinal qualitative study utilising interpretative phenomenological analysis.Methods: Semi-structured interviews were undertaken pre-banding, at six months, then annually up to five years post-banding with seven individuals.Results: Pre-banding participants described the stigma associated with being overweight and unwelcome in society, the need for support, preparations for being banded, and their expectations of successful weight loss with a concomitant return to normality. Post-banding revealed the inadequacy of participants' previous preparation for real life with the band. That, plus some support-related problems, meant at five years post-banding participants still had concerns about whether their eating issues had been addressed, and all were still dependent on the band to control their food intake. Conclusions:Five years post-banding and changed eating behaviours are still not habitual, the weight loss has not been to the extent originally predicted, and their stated aim (the return to normality with the knowledge of how to manage their weight with the band), remains in the future. Improved preparation and support are clear needs for this patient population to achieve a normal life free from stigma, others' revulsion and pity.

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“…A recently published retrospective analysis of 2,090 banding patients found a mean EWL of 52.9 percent at 5 years postoperatively. However, a review of individual studies show more inconsistent outcomes, with percentages of EWL ranging from less than 30 percent to as much as 70 percent [3]. Two recently published studies found the majority of patients failed to achieve the benchmark of 50 percent of EWL at 2 and 3 years postoperatively [4].…”

Section: Introductionmentioning

confidence: 99%

“…A number of studies have reported improved quality of life (QOL) after gastric banding surgery [3,[5][6][7][8]. A study by Freys et al [9] reported a significant improvement in QOL in 73 banding patients but reported a high number of complications (38%) that resulted in reoperation.…”

Section: Introductionmentioning

confidence: 99%

The Relationship of Eating Behaviors, Hunger Control, and Physical Activity to Weight Loss and Quality of Life in Laparoscopic Adjustable Gastric Banding Patients

Baugh¹

2015

AOWMC

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This retrospective, descriptive study explored the relationship of eating behaviors, hunger control, and physical activity to weight loss and quality of life in 134 patients who had laparoscopic adjustable gastric banding (LAGB) surgery. Based on the findings of this study, it is recommended that gastric banding patients participate in at least 150 minutes per week of moderate to vigorous physical activity. Additionally, clinicians should consider development of band adjustment protocols that achieve early reduction of hunger in the banding patient.

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Laparoscopic Adjustable Gastric Banding: Weight Loss, Co-morbidities, Medication Usage and Quality of Life at One Year

Abstract: At 1 year after LAGB, patients had experienced significant weight loss, resolution of comorbidities, decreases in medication usage, and improvements in QoL.

Cited by 103 publications

References 15 publications

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Past, present, and future: Critical analysis of use of gastric bands in obese patients

A Qualitative Longitudinal Exploration of the Lived Experience of Laparoscopic Adjustable Gastric Banding Surgery

The Relationship of Eating Behaviors, Hunger Control, and Physical Activity to Weight Loss and Quality of Life in Laparoscopic Adjustable Gastric Banding Patients

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