Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan
Laparoscopic adjustable gastric banding (LAGB) is a newly developed minimally invasive surgical procedure for the treatment of morbid obesity. This study was conducted to evaluate body weight loss, surgical complications, and comorbidities after LAGB surgery. Methods: Ninety-one morbidly obese patie...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2006-01-01
|
| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664609601741 |
| _version_ | 1811270989382680576 |
|---|---|
| author | Wei-Jei Lee Weu Wang Po-Li Wei Ming-Te Huang |
| author_facet | Wei-Jei Lee Weu Wang Po-Li Wei Ming-Te Huang |
| author_sort | Wei-Jei Lee |
| collection | DOAJ |
| description | Laparoscopic adjustable gastric banding (LAGB) is a newly developed minimally invasive surgical procedure for the treatment of morbid obesity. This study was conducted to evaluate body weight loss, surgical complications, and comorbidities after LAGB surgery.
Methods: Ninety-one morbidly obese patients (mean age, 31.2 years; mean preoperative weight, 120.8 kg) underwent LAGB in a private Taiwan hospital setting within a comprehensive multidisciplinary bariatric program. Patients were followed up to 36 months. Comorbidities were assessed in 55 patients who completed more than 12 months of follow-up by comparing each comorbid condition before surgery and during follow-up.
Results: All procedures were performed laparoscopically with no conversion. Mean operation time was 88.7 ±32.9 minutes. There were no intraoperative or major postoperative complications. Minor complication of stoma stenosis occurred in three (3.3%) patients. At 36 months after surgery, mean body mass index had decreased from 42.7 to 33.9 kg/m2, and mean percentage of excess weight loss was 44.8%. Late complications were as follows: intractable vomiting requiring band removal in one (1.1%) patient, tubing problems requiring revision surgery in four (4.3%), and stoma obstruction in two (2.1%). There was no mortality. Resolution or improvement of comorbidities was significant for hyperglycemia and diabetes-related index, dyslipidemia, abnormal liver function, hyperuricemia, sleep apnea, and arthralgia, but not for hypertension.
Conclusion: LAGB provides good weight loss and significant reduction in comorbidities with few minor complications. |
| first_indexed | 2024-04-12T22:13:14Z |
| format | Article |
| id | doaj.art-9819dbecea7a4f7eb39cc83cc805316e |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-12T22:13:14Z |
| publishDate | 2006-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-9819dbecea7a4f7eb39cc83cc805316e2022-12-22T03:14:40ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-011051188789410.1016/S0929-6646(09)60174-1Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in TaiwanWei-Jei Lee0Weu Wang1Po-Li Wei2Ming-Te Huang3Department of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, TaiwanDepartment of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, TaiwanDepartment of Surgery, Taoyuan Min-Sheng General Hospital, Taoyuan, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, TaiwanLaparoscopic adjustable gastric banding (LAGB) is a newly developed minimally invasive surgical procedure for the treatment of morbid obesity. This study was conducted to evaluate body weight loss, surgical complications, and comorbidities after LAGB surgery. Methods: Ninety-one morbidly obese patients (mean age, 31.2 years; mean preoperative weight, 120.8 kg) underwent LAGB in a private Taiwan hospital setting within a comprehensive multidisciplinary bariatric program. Patients were followed up to 36 months. Comorbidities were assessed in 55 patients who completed more than 12 months of follow-up by comparing each comorbid condition before surgery and during follow-up. Results: All procedures were performed laparoscopically with no conversion. Mean operation time was 88.7 ±32.9 minutes. There were no intraoperative or major postoperative complications. Minor complication of stoma stenosis occurred in three (3.3%) patients. At 36 months after surgery, mean body mass index had decreased from 42.7 to 33.9 kg/m2, and mean percentage of excess weight loss was 44.8%. Late complications were as follows: intractable vomiting requiring band removal in one (1.1%) patient, tubing problems requiring revision surgery in four (4.3%), and stoma obstruction in two (2.1%). There was no mortality. Resolution or improvement of comorbidities was significant for hyperglycemia and diabetes-related index, dyslipidemia, abnormal liver function, hyperuricemia, sleep apnea, and arthralgia, but not for hypertension. Conclusion: LAGB provides good weight loss and significant reduction in comorbidities with few minor complications.http://www.sciencedirect.com/science/article/pii/S0929664609601741gastric bandingmorbidly obesityobese-related illness |
| spellingShingle | Wei-Jei Lee Weu Wang Po-Li Wei Ming-Te Huang Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan Journal of the Formosan Medical Association gastric banding morbidly obesity obese-related illness |
| title | Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan |
| title_full | Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan |
| title_fullStr | Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan |
| title_full_unstemmed | Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan |
| title_short | Weight Loss and Improvement of Obesity-related Illness Following Laparoscopic Adjustable Gastric Banding Procedure for Morbidly Obese Patients in Taiwan |
| title_sort | weight loss and improvement of obesity related illness following laparoscopic adjustable gastric banding procedure for morbidly obese patients in taiwan |
| topic | gastric banding morbidly obesity obese-related illness |
| url | http://www.sciencedirect.com/science/article/pii/S0929664609601741 |
| work_keys_str_mv | AT weijeilee weightlossandimprovementofobesityrelatedillnessfollowinglaparoscopicadjustablegastricbandingprocedureformorbidlyobesepatientsintaiwan AT weuwang weightlossandimprovementofobesityrelatedillnessfollowinglaparoscopicadjustablegastricbandingprocedureformorbidlyobesepatientsintaiwan AT poliwei weightlossandimprovementofobesityrelatedillnessfollowinglaparoscopicadjustablegastricbandingprocedureformorbidlyobesepatientsintaiwan AT mingtehuang weightlossandimprovementofobesityrelatedillnessfollowinglaparoscopicadjustablegastricbandingprocedureformorbidlyobesepatientsintaiwan |