Outcome Predictors in Morbidly Obese Recipients of an Adjustable Gastric Band

Busetto, Luca; Segato, G; Marchi, Francesco; Foletto, Mirto; Luca, Maurizio De; Caniato, Dorina; Favretti, Franco; Lise, Mario; Enzi, Giuliano

doi:10.1381/096089202321144649

Cited by 131 publications

(94 citation statements)

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“…The diagnosis of binge eating disorder was determined using standard diagnostic criteria [32]. Sweet eating was diagnosed when the patient craved simple carbohydrates, and carbohydrate craving could be continuously present or triggered by emotional (anxiety, stress) or physiologic (premenstrual phase) situations [33]. Nibbling was diagnosed when the patient ate small quantities of foods repetitively between meals, typically triggered by inactivity and/or loneliness [33].…”

Section: Study Measurementsmentioning

confidence: 99%

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Pilone

Mozzi

Schettino

et al. 2012

Surgery for Obesity and Related Diseases

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Background: We analyzed the health-related quality of life (HRQOL) and its determinants in the first year after laparoscopic adjustable gastric banding (LAGB). The setting was 10 Italian public and private bariatric surgery centers. Methods: Data collected in an ongoing, prospective, 3-year multicenter Italian study on the changes in HRQOL after LAGB were used. HRQOL was investigated using the Medical Outcomes Study ShortForm 36 questionnaire. Hunger, satiety, and the self-perceived effects of LAGB were recorded. Results: A total of 334 patients were enrolled. The follow-up rate was 92.2%. The percentage of excess weight loss was 39.6% Ϯ 25.8%, with very few side effects or complications. Hunger in the morning (0 -10 scale) was 4.5 Ϯ 2.7 before surgery and 3.8 Ϯ 2.4 after 1 year (P Ͻ.001). Satiety after a meal (0 -10 scale) was 7.1 Ϯ 2.7 before surgery and 8.2 Ϯ 1.9 at 1 year (P Ͻ.001). The self-perceived effect of LAGB on caloric intake (0 -10 scale) was 8.4 Ϯ 1.9 after 1 year. The scores for the 8 Medical Outcomes Study Short-Form 36 subscales were significantly improved after surgery. The physical component summary score was 52.6 Ϯ 11.9 at baseline and 79.1 Ϯ 15.6 after 1 year (P Ͻ.001). The corresponding mental component summary scores were 52.2 Ϯ 12.3 and 76.5 Ϯ 17.2 (P Ͻ.001). Greater physical component summary improvement was independently associated with a low initial physical component summary (P Ͻ.001), high satiety (P ϭ .002), a high percentage of excess weight loss (P ϭ .013), and a high self-perceived effect of the LAGB (P ϭ .026). Greater mental component summary improvement was associated with a low initial mental component summary (P Ͻ.001), high satiety (P Ͻ.001), a low frequency of heartburn (P ϭ .004), and a high percentage of excess weight loss (P ϭ .012). Conclusions: Significant improvements in HRQOL were observed in the first year after LAGB. A poor baseline HRQOL, a high efficacy of the banding in eating control, and better weight loss might influence HRQOL changes. (Surg Obes Relat Dis 2012;8:260 -268.)

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Section: Study Measurementsmentioning

confidence: 99%

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Pilone

Mozzi

Schettino

et al. 2012

Surgery for Obesity and Related Diseases

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“…A presença de compulsão alimentar antes da intervenção cirúrgica, por exemplo, tem sido vista como fator de pior prognóstico, seja com relação à menor redução de peso [6][7][8] , seja com relação à reaquisição dele após a fase de estabilização, em geral devido ao equivalente "beliscar" compulsivo 3,[9][10][11][12][13] . Por outro lado, alguns estudos não encontraram associação consistente entre transtorno da compulsão alimentar periódica no pré-operatório e redução de peso após a cirurgia [14][15][16][17][18][19] . Tais discrepân-cias, em boa medida, se devem à ausência de conformidade entre os estudos com relação ao emprego de instrumentos de investigação 20 .…”

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Aspectos do acompanhamento psiquiátrico de pacientes obesos sob tratamento bariátrico: revisão

Gordon

Kaio²,

Sallet³

2011

Rev. psiquiatr. clín.

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ResumoContexto: Nas últimas décadas, diversos estudos longitudinais têm demonstrado a eficácia da cirurgia bariátrica no controle de peso em longo prazo e na redução da mortalidade resultante de complicações clínicas associadas à obesidade. Contudo, os estudos também revelam aumento significativo da mortalidade devida a suicídio e comportamento impulsivo, por razões largamente desconhecidas, o que demonstra a escassez de informações relativas ao manejo clínico de pacientes bariátricos. O presente estudo tem como objetivo sintetizar o estado atual de conhecimentos referentes ao acompanhamento psiquiátrico de pacientes bariátricos. Método: Revisão seletiva da literatura envolvendo artigos indexados no Medline e PubMed até junho de 2010, utilizando-se os termos: "bariatric surgery", "psychiatry", "binge eating", "follow-up" e "outcome". Resultados: Há relativo consenso na literatura de que não haja contraindicação psiquiátrica absoluta para a cirurgia bariátrica, embora a avaliação pré-operatória seja de extrema importância para o diagnóstico e tratamento de eventuais transtornos psiquiátricos, objetivando assegurar aderência ao tratamento multidisciplinar, melhor qualidade de vida e, possivelmente, melhor prognóstico pós-cirúrgico. Entre os transtornos mais prevalentes nessa população, encontra-se o transtorno da compulsão alimentar periódica (TCAP), que está relacionado com menor perda ponderal e pior qualidade de vida, especialmente quando presente no pós-operatório. No acompanhamento pós-operatório, também se deve atentar para o surgimento de sintomas impulsivos, incluindo abuso de álcool e outras substâncias. Conclusão: Diversos estudos indicam elevada prevalência de transtornos mentais e alterações psicopatológicas na população de pacientes bariátricos. Embora a maioria dos pacientes apresente adequado controle ponderal e melhora na qualidade de vida em médio e longo prazo, alguns pacientes desenvolvem alterações relativas ao comportamento alimentar, abuso de álcool e outras substâncias e complicações associadas a comportamento impulsivo, o que remete a hipóteses etiológicas que vão desde modelos neuroquímicos até teorias psicossociais. Por todas essas razões, é de fundamental importância que os profissionais de saúde mental integrem as equipes que avaliam e acompanham os pacientes bariátricos. Gordon PC, et al. / Rev Psiq Clín. 2011;38(4):148-54Palavras-chave: Obesidade, cirurgia bariátrica, psiquiatria, transtorno da compulsão alimentar periódica. AbstractBackground: In recent decades, several longitudinal studies show the efficacy of bariatric surgery on long-term weight control and reductions in mortality due to clinical complications associated with obesity. However, studies also show significantly increased mortality due to suicide and impulsive behavior, for reasons largely unknown, which demonstrates the paucity of information concerning the clinical management of bariatric patients. This study aims to synthesize the current state of knowledge regarding the psychiatric care of bariatric patients. Meth...

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“…The questionnaire authors suggest that scores are grouped to act as signifiers of distress. In its current form, the HADS is divided into four ranges: normal (0-7), mild (8-10), moderate (11)(12)(13)(14)(15), and severe (16)(17)(18)(19)(20)(21) …”

Section: Methodsmentioning

confidence: 99%

“…EBWL < 20% was viewed as a failed surgical intervention [13]. However, evidence demonstrates that reducing EBWL by 5-10% can lead to significant reductions in the co-morbidities known to be associated with obesity such as cardiovascular disorders and diabetes, and for individuals who are obese these positive health benefits are unlikely to be achieved without surgical intervention [7,14,15].…”

Section: Introductionmentioning

confidence: 99%

“…This is important for individuals undergoing bariatric surgery, as although this intervention is beneficial, it is expensive [15,20]. Factors shown to predict weight loss include; being aged < 40 years, and BMI < 50 kg/m2 prior to surgery, depression levels prior to surgery, and adherence to post-surgical eating guidelines [13,19,21]. Despite this knowledge there is still a requirement to further explore predictors of long-term success22, particularly in relation to issues of appearance related to obesity.…”

Section: Introductionmentioning

confidence: 99%

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Predicting Outcomes Following Laparoscopic Adjustable Gastric Banding Surgery: Weight Loss versus Improved Perceptions of Appearance

Hancock¹,

Jackson²,

Johnson³

2018

Int J Clin Med Cases

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Outcome Predictors in Morbidly Obese Recipients of an Adjustable Gastric Band

Abstract: Lap-Band was associated with a good outcome and with a low rate of severe complications. The outcome was more influenced by physiological and technical reasons than by psychological or behavioural factors.

Cited by 131 publications

References 14 publications

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Aspectos do acompanhamento psiquiátrico de pacientes obesos sob tratamento bariátrico: revisão

Predicting Outcomes Following Laparoscopic Adjustable Gastric Banding Surgery: Weight Loss versus Improved Perceptions of Appearance

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