Long-Term outcomes and experience of laparoscopic adjustable gastric banding: one center's results in China
| Autor: | Xing Zhen Liu, Wen Hui Wang, Mao Jin Xu, Yan Gao Zhang, Kai Yin, Cheng Zhu Zheng, Jie Fan, Da Jin Zou, Xiaojun Shen |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty China Time Factors Adolescent Gastroplasty Population Excess weight Body Mass Index Young Adult Weight loss Weight Loss medicine Long term outcomes Humans education Retrospective Studies education.field_of_study business.industry nutritional and metabolic diseases Retrospective cohort study Middle Aged medicine.disease Obesity Surgery Obesity Morbid Treatment Outcome Female Laparoscopy medicine.symptom business Body mass index Laparoscopic adjustable gastric banding Follow-Up Studies |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 11(4) |
| ISSN: | 1878-7533 |
| Popis: | Background Laparoscopic adjustable gastric banding (LAGB), as one major bariatric surgery for treatment of obesity, results in ineffective long-term weight loss and a high reoperation rate. The objective of this study was to evaluate the long-term effects of LAGB on the weight loss outcomes and reoperation rates of obese patients with different body mass index (BMI) levels in China. Methods A retrospective study was performed to review the follow-up data of obese patients who underwent LAGB at Shanghai Changhai Hospital between November 2003 and May 2013. The main outcomes included weight loss, percentage excess weight loss (%EWL), reoperation rate, and reasons for reoperation. Results A total of 254 LAGB procedures were performed in our hospital. By the end of May 2013, 145 Chinese patients (57.8%) were followed up, 99 patients with BMI≥35 kg/m 2 (high BMI group) and 46 patients with BMI 2 (low BMI group). In the high BMI group, the mean %EWL was>25% within 5 years postoperatively, but it decreased to less than 25% after 5 years. However, in the low BMI group, the mean %EWL at each time point was over 50%. The reoperation rate was 33.1%; it was 17.4% in the low BMI group and 34.3% in the high BMI group. Conclusion LAGB is more effective with a lower reoperation rate for obese patients with a BMI 2 compared to BMI≥35 kg/m 2 in our population. |
| Databáze: | OpenAIRE |
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