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Laparoscopic Adjustable Gastric Banding: Outcomes

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Abstract

The first laparoscopic adjustable gastric band (LAGB) was placed in 1993 (1), an event that heralded the widespread introduction of laparoscopic obesity surgery. The LAGB has become rapidly and widely accepted by bariatric surgeons and patients seeking surgical treatment for obesity. With more than 10 years of experience and more than 150,000 band placements, we are now in a good position to assess its safety and efficacy. There is now a wealth of largely observational data regarding the results of LAGB surgery. This chapter reviews the broad outcomes of LAGB surgery, with an emphasis on important outcome data that have changed techniques or expanded our knowledge regarding the treatment of severe obesity [body mass index (BMI) >35). The assessment of outcomes addresses weight loss, changes to obesity-related comorbidities, effects on quality of life and psychosocial changes, and deaths and complications.

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References

  1. Belachew M, Legrand MJ, Defechereux TH, Burtheret MP, Jacquet N. Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity. A preliminary report. Surg Endosc 1994;8:1354–1356.

    Article  CAS  PubMed  Google Scholar 

  2. Blanco-Engert R, Weiner S, Pomhoff I, Matkowitz R, Weiner RA. Outcome after laparoscopic adjustable gastric banding, using the Lap-Band and the Heliogast band: a prospective randomized study. Obes Surg 2003;13:776–779.

    Article  CAS  PubMed  Google Scholar 

  3. Weiner R, Blanco-Engert R, Weiner S, Matkowitz R, Schaefer L, Pomhoff I. Outcome after laparoscopic adjustable gastric banding—8 years experience. Obes Surg 2003;13: 427–434.

    Article  CAS  PubMed  Google Scholar 

  4. O’Brien PE, Dixon JB, Laurie C, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial. Ann Intern Med 2006;144:625–633.

    Article  PubMed  Google Scholar 

  5. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 2002;287:356–359.

    Article  PubMed  Google Scholar 

  6. Dixon JB, O’Brien P. Health outcomes of severely obese type 2 diabetic subjects 1 year after laparoscopic adjustable gastric banding. Diabetes Care 2002;25:358–363.

    Article  PubMed  Google Scholar 

  7. Dixon JB, Dixon AF, O’Brien PE. Improvements in insulin sensitivity and beta-cell function (HOMA) with weight loss in the severely obese. Diabet Med 2003;20:127–134.

    Article  CAS  PubMed  Google Scholar 

  8. Abu-Abeid S, Keidar A, Szold A. Resolution of chronic medical conditions after laparoscopic adjustable silicone gastric banding for the treatment of morbid obesity in the elderly. Surg Endosc 2001;15:132–134.

    Article  CAS  PubMed  Google Scholar 

  9. Dolan K, Bryant R, Fielding G. Treating diabetes in the morbidly obese by laparoscopic gastric banding. Obes Surg 2003;13:439–443.

    Article  PubMed  Google Scholar 

  10. Dixon JB, O’Brien P. A disparity between conventional lipid and insulin resistance markers at body mass index levels greater than 34 kg/m(2). Int J Obes Relat Metab Disord 2001;25:793–797.

    Article  CAS  PubMed  Google Scholar 

  11. Despres J. The insulin resistance-dyslipidemia syndrome: the most prevalent cause of coronary artery disease. Can Med Assoc J 1993;148(8):1339–1340.

    CAS  Google Scholar 

  12. Koba S, Hirano T, Sakaue T, et al. Role of small dense low-density lipoprotein in coronary artery disease patients with normal plasma cholesterol levels. J Cardiol 2000;36: 371–378.

    CAS  PubMed  Google Scholar 

  13. Dixon JB, O’Brien PE. Lipid profile in the severely obese: changes with weight loss after lap-band surgery. Obes Res 2002;10:903–910.

    Article  PubMed  Google Scholar 

  14. Bacci V, Basso MS, Greco F, et al. Modifications of metabolic and cardiovascular risk factors after weight loss induced by laparoscopic gastric banding. Obes Surg 2002; 12:77–82.

    Article  PubMed  Google Scholar 

  15. Dixon JB, O’Brien PE. Changes in comorbidities and improvements in quality of life after LAP-BAND placement. Am J Surg 2002;184:S51–54.

    Article  Google Scholar 

  16. Sjostrom CD, Peltonen M, Wedel H, Sjostrom L. Differentiated long-term effects of intentional weight loss on diabetes and hypertension. Hypertension 2000;36:20–25.

    Article  CAS  PubMed  Google Scholar 

  17. Vgontzas AN, Papanicolaou DA, Bixler EO, et al. Sleep apnea and daytime sleepiness and fatigue: relation to visceral obesity, insulin resistance, and hypercytokinemia. J Clin Endocrinol Metab 2000;85:1151–1158.

    Article  CAS  PubMed  Google Scholar 

  18. Dixon JB, Schachter LM, O’Brien PE. Predicting sleep apnea and excessive day sleepiness in the severely obese: indicators for polysomnography. Chest 2003;123:1134–1141.

    Article  PubMed  Google Scholar 

  19. Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med 2001;161:102–106.

    Article  CAS  PubMed  Google Scholar 

  20. Martin LF, Finigan KM, Nolan TE. Pregnancy after adjustable gastric banding. Obstet Gynecol 2000;95:927–930.

    Article  CAS  PubMed  Google Scholar 

  21. Weiss HG, Nehoda H, Labeck B, Hourmont K, Marth C, Aigner F. Pregnancies after adjustable gastric banding. Obes Surg 2001;11:303–306.

    Article  CAS  PubMed  Google Scholar 

  22. Dixon JB, Dixon ME, O’Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obes Surg 2001;11:59–65.

    Article  CAS  PubMed  Google Scholar 

  23. Institute of Medicine. Subcommittee on the Nutritional Status and Weight Gain During Pregnancy. Nutrition During Pregnancy. Weight Gain. Nutritional Supplements. Washington, DC: National Academy Press, 1990:1–13.

    Google Scholar 

  24. Lovelady CA, Garner KE, Moreno KL, Williams JP. The effect of weight loss in overweight, lactating women on the growth of their infants. N Engl J Med 2000;342:449–453.

    Article  CAS  PubMed  Google Scholar 

  25. Dixon J. The effects of obesity on asthma. In: Medeiros-Neto G, Halpern A, Bouchard C, eds. Progress in Obesity Research, vol 9. Montrouge, France: John Libbley Eurotext, 2003.

    Google Scholar 

  26. Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003;289:76–79.

    Article  PubMed  Google Scholar 

  27. Macgregor AM, Greenberg RA. Effect of surgically induced weight loss on asthma in the morbidly obese. Obes Surg 1993;3:15–21.

    Article  PubMed  Google Scholar 

  28. Dixon JB, Chapman L, O’Brien P. Marked improvement in asthma after Lap-Band surgery for morbid obesity. Obes Surg 1999;9:385–389.

    Article  CAS  PubMed  Google Scholar 

  29. Hakala K, Stenius-Aarniala B, Sovijarvi A. Effects of weight loss on peak flow variability, airways obstruction, and lung volumes in obese patients with asthma. Chest 2000; 118:1315–1321.

    Article  CAS  PubMed  Google Scholar 

  30. Iovino P, Angrisani L, Tremolaterra F, et al. Abnormal esophageal acid exposure is common in morbidly obese patients and improves after a successful Lap-Band system implantation. Surg Endosc 2002;20:20.

    Google Scholar 

  31. Dixon JB, O’Brien PE. Gastroesophageal reflux in obesity: the effect of lap-band placement. Obes Surg 1999;9:527–531.

    Article  CAS  PubMed  Google Scholar 

  32. Weiss HG, Nehoda H, Labeck B, et al. Treatment of morbid obesity with laparoscopic adjustable gastric banding affects esophageal motility. Am J Surg 2000;180:479–482.

    Article  CAS  PubMed  Google Scholar 

  33. Schauer P, Hamad G, Ikramuddin S. Surgical management of gastroesophageal reflux disease in obese patients. Semin Laparosc Surg 2001;8:256–264.

    Article  CAS  PubMed  Google Scholar 

  34. Angrisani L, Iovino P, Lorenzo M, et al. Treatment of morbid obesity and gastroesophageal reflux with hiatal hernia by Lap-Band. Obes Surg 1999;9:396–398.

    Article  CAS  PubMed  Google Scholar 

  35. Kral JG, Sjostrom LV, Sullivan MB. Assessment of quality of life before and after surgery for severe obesity. Am J Clin Nutr 1992;55:611S–614S.

    CAS  PubMed  Google Scholar 

  36. Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res 2001;9:713–721.

    Article  CAS  PubMed  Google Scholar 

  37. Weiner R, Datz M, Wagner D, Bockhorn H. Quality-of-life outcome after laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 1999;9:539–545.

    Article  CAS  PubMed  Google Scholar 

  38. Horchner R, Tuinebreijer MW, Kelder PH. Quality-of-life assessment of morbidly obese patients who have undergone a Lap-Band operation: 2-year follow-up study. Is the MOS SF-36 a useful instrument to measure quality of life in morbidly obese patients? Obes Surg 2001;11:212–218; discussion 219.

    Article  CAS  PubMed  Google Scholar 

  39. Schok M, Geenen R, van Antwerpen T, de Wit P, Brand N, van Ramshorst B. Quality of life after laparoscopic adjustable gastric banding for severe obesity: postoperative and retrospective preoperative evaluations. Obes Surg 2000; 10:502–508.

    Article  CAS  PubMed  Google Scholar 

  40. O’Brien P, Brown W, Dixon J. Revisional surgery for morbid obesity—conversion to the Lap-Band system. Obes Surg 2000;10:557–563.

    Article  PubMed  Google Scholar 

  41. Cash TF. Body-image attitudes among obese enrollees in a commercial weight-loss program. Percept Mot Skills 1993; 77:1099–1103.

    Article  CAS  PubMed  Google Scholar 

  42. Dixon JB, Dixon ME, O’Brien P. Body image: appearance orientation and evaluation in the severely obese and post obese (ASBS Washington June 2001). Obes Surg 2001; 11(2):172.

    Article  Google Scholar 

  43. Onyike CU, Crum RM, Lee HB, Lyketsos CG, Eaton WW. Is obesity associated with major depression? Results from the third national health and nutrition examination survey. Am J Epidemiol 2003;158:1139–1147.

    Article  PubMed  Google Scholar 

  44. Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ. Are the obese at greater risk for depression? Am J Epidemiol 2000;152:163–170.

    Article  CAS  PubMed  Google Scholar 

  45. Dixon JB, Dixon ME, O’Brien PE. Depression in association with severe obesity: changes with weight loss. Arch Intern Med 2003;163:2058–2065.

    Article  PubMed  Google Scholar 

  46. Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)—an intervention study of obesity. Two-year followup of health related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes 1998;22:113–126.

    Article  CAS  Google Scholar 

  47. Waters GS, Pories WJ, Swanson MS, Meelheim HD, Flickinger EG, May HJ. Long-term studies of mental health after the Greenville gastric bypass operation for morbid obesity. Am J Surg 1991;161:154–157; discussion 157–158.

    Article  CAS  PubMed  Google Scholar 

  48. Chapman A, Kiroff G, Game P, et al. Systematic review of laparoscopic adjustable gastric banding in the treatment of obesity. Report No. 31. Adelaide, South Australia: ASERNIP-S, 2002.

    Google Scholar 

  49. O’Brien P, Brown W, Dixon J. Revisional surgery for morbid obesity—conversion to the Lap-Band system. Obes Surg 2000;10:557–563.

    Article  PubMed  Google Scholar 

  50. O’Brien PE, Dixon JB, Brown W, et al. The laparoscopic adjustable gastric band (Lap-Band): a prospective study of medium-term effects on weight, health and quality of life. Obes Surg 2002;12:652–660.

    Article  PubMed  Google Scholar 

  51. Dargent J. Pouch dilatation and slippage after adjustable gastric banding: is it still an issue? Obes Surg 2003;13: 111–115.

    Article  PubMed  Google Scholar 

  52. O’Brien PE, Dixon JB. Weight loss and early and late complications-the international experience. Am J Surg 2002;184:S42–45.

    Article  Google Scholar 

  53. Dixon JB, Dixon ME, O’Brien PE. Pre-operative predictors of weight loss at 1-year after Lap-Band surgery. Obes Surg 2001;11:200–207.

    Article  CAS  PubMed  Google Scholar 

  54. Hudson SM, Dixon JB, O’Brien PE. Sweet eating is not a predictor of outcome after Lap-Band placement. Can we finally bury the myth? Obes Surg 2002;12:789–794.

    Article  PubMed  Google Scholar 

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Dixon, J.B., O’Brien, P.E. (2007). Laparoscopic Adjustable Gastric Banding: Outcomes. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_22

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_22

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

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