Weight loss and improvement of obesity-related illness in 500 U.S. patients following laparoscopic adjustable gastric banding procedure - 18/08/11
Corresponding author: Tel.: +1-713-520-8900; fax: +1-713-520-8905.Abstract |
Background |
Obesity and its related illness is a primary health concern today.
Methods |
Five hundred morbidly obese patients (mean age 42 years; mean preoperative weight 123 kg) underwent laparoscopic adjustable gastric banding surgery in a private U.S. hospital setting within a comprehensive multidisciplinary bariatric program. Patients were followed up to 36 months. Comorbidity status was assessed for 163 patients who completed ≥18 months’ follow-up by comparing medications (type and dosage) prescribed for each comorbid condition before surgery and at follow-up.
Results |
At 36 months after surgery, mean body mass index (BMI) had decreased from 45.2 to 34.9 kg/m2 and mean percent excess weight loss (%EWL) was 47%. Complications were as follows: gastric pouch dilatation (6.8%), slippage (2.8%), and stoma obstruction (0.6%). There was no mortality. Resolution or improvement of comorbidities were as follows: gastroesophageal reflux disease (GERD) (87%; usually immediately postsurgery), asthma (81.8%), diabetes (66%), dyslipidemia (65.5%), hypertension (48%), and sleep apnea (33%).
Conclusions |
Gastric banding provides good weight loss and significant reduction in comorbidities with few and minor complications.
Le texte complet de cet article est disponible en PDF.Keywords : Obesity, Gastric banding, GERD, Hypertension, Diabetes, Dyslipidemia
Plan
Vol 189 - N° 1
P. 27-32 - janvier 2005 Retour au numéro
Article précédent
- Use of D-dimer to aid in excluding deep venous thrombosis in ambulatory patients
- Scott Diamond, Robert Goldbweber, Steven Katz
- Laparoscopic Roux-en-Y gastric bypass and the role of the surgical resident
- Peter F. Rovito, Keith Kreitz, T. Daniel Harrison, M. Todd Miller, Richard Shimer
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?