Predictors of outcome in treatment of morbid obesity by laparoscopic adjustable gastric banding: results of a prospective study of 380 patients

Wölnerhanssen, Bettina K.; Peters, Thomas; Kern, Beatrice; Schötzau, Andy; Ackermann, Christoph; Flüe, Markus von; Peterli, Ralph

doi:10.1016/j.soard.2008.03.252

Cited by 75 publications

(47 citation statements)

References 42 publications

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“…When compared with non-diabetic patients, those with diabetes experienced a slightly delayed weight loss (mainly due to older age) but their outcome at 5 years was similar. This finding contrasts with other results at 1 year 28 , but is in line with three more recent reports 22,25,29 .…”

Section: Discussionsupporting

confidence: 71%

Long-term metabolic outcome and quality of life after laparoscopic adjustable gastric banding in obese patients with type 2 diabetes mellitus or impaired fasting glucose

Caïazzo

Arnalsteen

Pigeyre

et al. 2010

British Journal of Surgery

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Section: Discussionsupporting

confidence: 71%

Long-term metabolic outcome and quality of life after laparoscopic adjustable gastric banding in obese patients with type 2 diabetes mellitus or impaired fasting glucose

Caïazzo

Arnalsteen

Pigeyre

et al. 2010

British Journal of Surgery

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“…However, 5 years after the introduction of primary LAGB (follow-up rate 98%) almost 40% of the patients had either lost their bands or had had an insufficient result (with the band in situ) according to the bariatric analysis and reporting outcome system score [20][21][22]. Consequently, we changed to LRYGB as our standard bariatric procedure.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

Fewer Nutrient Deficiencies After Laparoscopic Sleeve Gastrectomy (LSG) than After Laparoscopic Roux-Y-Gastric Bypass (LRYGB)—a Prospective Study

et al. 2010

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Background Deficiencies in micronutrients after bariatric operations are frequent, despite routine supplementation. Main outcome measures were pre-and postoperative frequency of nutrient deficiencies and success rate of their treatment. Between 5/2004 and 12/2006, 136 patients (m:f=0:4) with an average body mass index of 45 (35-58) kg/m 2 and age of 53 (21-66) years were prospectively analysed. Laparoscopic Roux-Y-gastric bypass (LRYGB) was performed in 86 patients and laparoscopic sleeve gastrectomy (LSG) was performed in 50 patients. The patients were examined before surgery as well as 3, 6, 12, 24, 30, and 36 months postoperatively using a standard protocol including laboratory tests. The mean follow-up time was 24.4 (12-40) months; the follow-up rate was 100%. Results Prior to surgery, 57% of the patients had at least one deficiency, 23% of whom had vitamin D 3 deficiency. Frequent postoperative deficiencies after LSG were zinc, vitamin D 3 , folic acid, iron, and vitamin B 12 ; after LRYGB, vitamin B 12 , vitamin D 3 , zinc, and secondary hyperparathyroidism. No vitamin B 1 or B 6 deficiencies were found. Calcium levels were normal in all patients. Treatment of the deficiencies was mostly successful. Conclusion Preoperatively, 57% of morbidly obese patients already had a deficiency. Postoperatively, significantly more vitamin B 12 and vitamin D deficiencies and hyperparathyroidism were found in patients who had undergone LRYGB. After LSG, folate deficiency was more frequent (but not significantly so). Calcium levels were normal in all patients; therefore, parathyroid hormone and vitamin D 3 levels are more sensitive markers for early detection of disorders of calcium metabolism. Iron deficiency anaemia is most efficiently treated by IV therapy. Methods

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“…At our institution, laparoscopic gastric banding (LAGB) was used since 1996 as a purely restrictive procedure in over 400 patients. However, 5 years after primary gastric banding (follow-up rate of 98%), 39% of the patients had lost their bands or, with the band in situ, had an insufficient result according to the Bariatric Analysis and Reporting Outcome System score [3][4][5]. As a consequence, we changed our therapy concept, and now the majority of our patients receive laparoscopic Roux-en-Y gastric bypass (RYGBP) as an initial treatment.…”

Section: Introductionmentioning

confidence: 99%

Midterm Results of Primary vs. Secondary Laparoscopic Sleeve Gastrectomy (LSG) as an Isolated Operation

et al. 2009

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Predictors of outcome in treatment of morbid obesity by laparoscopic adjustable gastric banding: results of a prospective study of 380 patients

Cited by 75 publications

References 42 publications

Long-term metabolic outcome and quality of life after laparoscopic adjustable gastric banding in obese patients with type 2 diabetes mellitus or impaired fasting glucose

Long-term metabolic outcome and quality of life after laparoscopic adjustable gastric banding in obese patients with type 2 diabetes mellitus or impaired fasting glucose

Fewer Nutrient Deficiencies After Laparoscopic Sleeve Gastrectomy (LSG) than After Laparoscopic Roux-Y-Gastric Bypass (LRYGB)—a Prospective Study

Midterm Results of Primary vs. Secondary Laparoscopic Sleeve Gastrectomy (LSG) as an Isolated Operation

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