Is there a relation between number of adjustments and results after gastric banding?
| Autor: | Gerhard van ’t Hof, Pierre B. Feskens, Ruben Schouten |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Time Factors Gastroplasty Gastric banding Excess weight Risk Assessment Cohort Studies Postoperative Complications Weight loss medicine Humans Monitoring Physiologic Retrospective Studies business.industry Incidence Middle Aged Surgery Obesity Morbid Postoperative status Treatment Outcome Female Laparoscopy medicine.symptom business Laparoscopic adjustable gastric banding Follow-Up Studies |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 9(6) |
| ISSN: | 1878-7533 |
| Popis: | Laparoscopic adjustable gastric banding (LAGB) is a standard restrictive bariatric procedure. Previous studies have shown that patients lost to follow-up do worse than patients who remain in follow-up. However, it is unknown if this is purely because of a lack of band adjustments. The aim of this study was to study the relation between number of adjustments and results.Patients who underwent primary LAGB from October 2006 until March 2009 were included. The following parameters were collected: demographic characteristics, preoperative and postoperative weight, preoperative and postoperative status of co-morbidities, type of band, short- and long-term complications, reoperations, date, number and volume of adjustments, total amount of inserted volume, and last measured volume.One hundred seventy-four patients underwent primary LAGB. Twelve patients did not attend follow-up visits after 24 months (8.1%). Mean follow-up was 46 months, and excess weight loss, 47%. Eleven patients (8.1%) developed long-term complications, and 12 patients (8.8%) underwent revisional surgery. Patients underwent a mean number of 5 adjustments with a range of 0 to 18. The mean volume of totally inserted milliliters was 8 mL, with a range of 0 to 14 mL. There was a strong positive relation between number of adjustments and weight loss as well as reduction in obesity-related co-morbidities (r = .22; P.01). There was no significant relation between number of adjustments and complications or revisional surgery.There is a strong relation between the number of band adjustments and weight loss, whereas complications and reoperations seem to be independent of the number of adjustments. A continual and lifelong follow-up of LAGB patients, including regular band volume adjustments, is necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|