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Lap-Band Surgery

Marko Nikolić, Ivan Kruljac, Lora Kirigin, Gorana Mirošević, Neven Ljubičić, Borka Pezo Nikolić, Miroslav Bekavac-Bešlin, Ivan Budimir, Milan Vrkljan
Background: Bariatric procedures are effective options for weight loss (WL) in the morbidly obese. However, some patients fail to lose any weight after bariatric surgery, and mid-term weight maintenance is variable. The aim of this study was to investigate whether initial WL could predict mid-term weight maintenance. Methods: Eighty patients were enrolled, of whom 44 were treated with the BioEnterics Intragastric Balloon (BIB), 21 with laparoscopic adjustable gastric lap-banding (LAGB), and 15 with laparoscopic sleeve gastrectomy (LSG)...
June 1, 2015: Bariatric Surgical Practice and Patient Care
Mustafa W Aman, Miloslawa Stem, Michael A Schweitzer, Thomas H Magnuson, Anne O Lidor
BACKGROUND: With the rise in bariatric procedures being performed nationwide and the growing focus on quality and outcome measures, reducing early hospital readmission (EHR) rates has garnered great clinical interest. The aim of this study was to identify the incidence, reasons, and risk factors for EHR after bariatric surgery. METHODS: Using American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) dataset (2012-2013), patients with a diagnosis of obesity and body mass index ≥35 who underwent bariatric surgery were identified...
June 2016: Surgical Endoscopy
J B Dixon, L L Eaton, V Vincent, R Michaelson
BACKGROUND: We performed a 5-year multicenter study to evaluate the safety and effectiveness of the LAP-BAND System surgery (LBS) in patients with obesity with a body mass index (BMI) of 30-39.9 kg m(-)(2). This pivotal study was designed to support LBS application to the US Food and Drug Administration for broadening the indications for surgery and the lower BMI indication was approved with 1-year data in 2011, with the intention to complete the 5-year evaluation. OBJECTIVES: To present broad health outcome data including weight change, patient reported outcomes, comorbidity change and complications during the 5-year study...
February 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Mauro Maniscalco, Pierluigi Carratù, Stanislao Faraone, Maria Rosaria Cerbone, Stefano Cristiano, Anna Zedda, Onofrio Resta
BACKGROUND: Bariatric procedures provide an effective means of short term weight loss and sustained weight control for the morbidly obese. The effect of bariatric procedures on smoking habit in obese subjects is not well known. Therefore, we examined the short term effect of bariatric surgery on smoking habit of severe obese patients up to 12 months from the intervention. PATIENTS AND METHODS: Smoking habit was assessed in a cohort of 78 morbid smoking obese patients followed at our clinic for bariatric procedures...
2015: Tobacco Induced Diseases
Joel F Bradley, Samuel W Ross, Ashley Britton Christmas, Peter E Fischer, Gaurav Sachdev, Brant Todd Heniford, Ronald F Sing
BACKGROUND: Complications of bariatric surgeries are common, can occur throughout the patient's lifetime, and can be life-threatening. We examined bariatric surgical complications presenting to our acute care surgery service. METHODS: Records were reviewed from January 2007 to June 2013 for patients presenting with a complication after bariatric surgery. RESULTS: Laparoscopic Roux-en-Y gastric bypass was the most common index operation (n = 20), followed by open Roux-en-Y gastric bypass (n = 6), laparoscopic gastric band (n = 4), and vertical banded gastroplasty (n = 3)...
September 2015: American Journal of Surgery
Luca Busetto, Enrico Mozzi, Angelo Michele Schettino, Francesco Furbetta, Cristiano Giardiello, Giancarlo Micheletto, Vincenzo Pilone
BACKGROUND: Improvements in health-related quality of life (HR-QoL) occur after bariatric surgery. However, sustainability of these changes over time remains debated. METHODS: Data collected in a prospective 3-year multicenter Italian study on changes of HR-QoL after laparoscopic adjustable gastric banding were used. HR-QoL has investigated with the SF-36 questionnaire. Hunger, satiety, and the self-perceived effects of LAGB were recorded. RESULTS: A total of 230 patients (53 male and 177 female) were analyzed...
January 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Leila Kia, Peter J Kahrilas
No abstract text is available yet for this article.
December 2014: Gastroenterology
Leena Jalota, Adetokunbo Oluwasanjo, Richard Alweis
Laparoscopic adjustable gastric banding (LAGB) is an increasingly common therapeutic option in the management of obesity and certain obesity-related comorbid conditions. As it gains popularity for its advantages of being minimally invasive and reversible, clinicians should be aware of growing evidence of esophageal and pulmonary complications, which may be irreversible and associated with long-term morbidity. We report a case of esophageal and pulmonary complications in a patient with successful weight loss after lap-band surgery necessitating its removal...
2014: Journal of Community Hospital Internal Medicine Perspectives
Helmuth T Billy, David B Sarwer, Jaime Ponce, Daisy S Ng-Mak, Rebecca Shi, Christopher Cornell, Ted Okerson
BACKGROUND: Obesity is often associated with diminished health-related quality of life (HRQOL), but significant gains in HRQOL have been observed after bariatric surgery. Laparoscopic adjustable gastric banding has been established as a safe, effective treatment to reduce weight in patients with obesity. This report summarizes interim 3-year changes in HRQOL and body weight, as well as safety postimplantation of the LAP-BAND AP (LBAP) system. METHODS: The LAP-BAND AP EXperience (APEX) trial, an ongoing, prospective, 5-year, open-label study, assessed changes in HRQOL (Obesity and Weight-Loss Quality of Life [OWLQOL] questionnaire) and body weight, and safety after placement of LBAP...
July 2014: Postgraduate Medicine
Ehab Akkary, Forrest Olgers
BACKGROUND: Laparoscopic adjustable gastric band access port has been routinely sutured to the anterior fascia of the abdominal wall using nonabsorbable sutures. We present our technique demonstrating that nonfascial fixation with using a mesh allows for a safe and durable placement of the port in the superficial subcutaneous tissue. METHODS: Retrospective chart review included 102 consecutive patients who had Lap band surgery performed by single surgeon (EA) from June 2011 until April 2013...
November 2014: Obesity Surgery
Faina Linkov, Dana H Bovbjerg, Kyle E Freese, Ramesh Ramanathan, George Michel Eid, William Gourash
BACKGROUND: Bariatric surgery may prove an effective weight loss option for those struggling with severe obesity, but it is difficult to determine levels of interest in such procedures at the population level through traditional approaches. Analysis of Google Trend information may give providers and healthcare systems useful information regarding Internet users' interest in bariatric procedures. The objective of this study was to gather Google Trend information on worldwide Internet searches for "bariatric surgery", "gastric bypass", "gastric sleeve", "gastric plication", and "lap band" from 2004-2012 and to explore temporal relationships with relevant media events, economic variations, and policy modifications...
May 2014: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Alfredo Genco, Michele Lorenzo, Giovanni Baglio, Francesco Furbetta, Angelo Rossi, Marcello Lucchese, Marco A Zappa, Cristiano Giardiello, Giancarlo Micheletto, Giorgio Bottari, Francesco Puglisi, Luca Montanari, Civitelli Simona, Pietro Forestieri
BACKGROUND: The intragastric balloon has been reported to be a safe and effective tool for temporary weight loss. The aim of this study is the evaluation of the possible predictive role of intragastric balloon when used before laparoscopic adjustable gastric banding. METHODS: A longitudinal multicenter study was conducted in patients with body mass index (BMI)>35 kg/m(2) who underwent gastric banding with the BioEnterics Intragastric Balloon (BIB). After balloon removal (6 mo), patients were allocated into 2 group according to their percentage of excess weight loss (%EWL): group>25 (%EWL>25%) and group<25 (%EWL<25%)...
May 2014: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Jaime Ponce, Shahrad Taheri, Vincent Lusco, Christopher Cornell, Daisy S Ng-Mak, Rui Shi, Ted Okerson
OBJECTIVE: This 48 week combined analysis reports safety and clinical effectiveness of the LAP-BAND AP * laparoscopic adjustable gastric band (LAGB) in severely obese patients enrolled in the 5 year, prospective, observational, open-label APEX (NCT00501085) and HERO (NCT00953173) studies. METHODS: The studies enrolled 1620 patients (APEX: N = 514; HERO: N = 1106), 1140 patients in the US (including all APEX patients), and 480 patients in the European Union (EU), Canada or Australia...
May 2014: Current Medical Research and Opinion
Nancy Dreyer, John B Dixon, Ted Okerson, Eric A Finkelstein, Denise Globe
OBJECTIVE: To describe the baseline characteristics in patients who chose placement of a LAP-BAND AP® System (LBAP) and participated in the Helping Evaluate Reduction in Obesity (HERO) Study across regions. PATIENTS AND METHODS: HERO is a five-year, prospective, multicenter, international study of patients with LBAP placement between July 22, 2009 and January 31, 2011. In addition to baseline and peri-surgery clinical data, seven follow up visits are scheduled at 3, 6 and 12 months, and annually through year five...
2013: PloS One
Wendy A Brown, Kristine J Egberts, Danielle Franke-Richard, Paul Thodiyil, Margaret L Anderson, Paul E OʼBrien
OBJECTIVE: To define the changing prevalence of erosion after Laparoscopic Adjustable Gastric Banding (LAGB), describing the range of clinical presentations, the approaches to treatment and the outcomes from these approaches over a 15-year study period. BACKGROUND: A recent systematic review of the literature of erosion after LAGB identified 25 relevant studies and reported a total of 231 erosions in 15,775 patients giving an overall incidence of 1.46%. The review highlighted a broad variation of incidence from 0...
June 2013: Annals of Surgery
Kavin G Shah, Derry Rajan, Jeffrey Nicastro, Ernesto P Molmenti, Gene Coppa
Bariatric surgery has been demonstrated to be an effective treatment for morbid obesity. The purpose of this study is to investigate the incidence of pre- and post-operative deep venous thrombosis (DVT) in Lap-Band surgical patients. This study group comprised 56 consecutive patients who underwent Lap-Band surgery. Mean age and body mass index were 38 years (range: 18-64 years) and 50.9 kg/m(2) (range: 53-74 kg/m(2)), respectively. All the patients were screened with duplex ultrasonography pre- and post-operatively...
April 2012: Indian Journal of Surgery
Jesús Lago Oliver, Sara Vázquez Amigo, Juana Sánchez García, Gabriel Pedraza Toledo, Enrique Mercader Cidoncha, Mercedes Sanz Sánchez, Fernando Turégano Fuentes
INTRODUCTION: Adjustable gastric banding is a surgical technique used all over the world for the treatment of morbid obesity. In Spain, the number of patients treated with adjustable gastric banding is far lower than the average worldwide average. A number of reasons have been put forward to explain this difference. MATERIAL AND METHODS: A program of bariatric surgery by means of implantation of an adjustable gastric banding was started in 2001, together with a dedicated follow-up protocol in order to prevent complications and improve results...
May 2013: Cirugía Española
Steven Edelman, Sunil Bhoyrul, Helmuth Billy, Christopher Cornell, Ted Okerson
OBJECTIVE: Laparoscopic adjustable gastric banding (LAGB) is an established bariatric surgical procedure that produces meaningful weight loss and improvements in patients with type 2 diabetes mellitus (T2DM) and a body mass index (BMI) ≥ 30 kg/m2. This study examined the effect of LAGB on T2DM status in severely obese patients with T2DM. METHODS: This was a 2-year interim analysis of patients with T2DM who required daily hypoglycemic medication at baseline (N = 89) in the 5-year, open-label, prospective, observational LAP-BAND AP® EXperience (APEX) trial...
November 2012: Postgraduate Medicine
Masayuki Ohta, Seigo Kitano, Seiichiro Kai, Akio Shiromizu, Yukio Iwashita, Yuichi Endo, Yuichiro Kawano, Takayuki Masaki, Tetsuya Kakuma, Hironobu Yoshimatsu
INTRODUCTION: Laparoscopic bariatric surgery has gradually spread in Japan since it was introduced in 2000. In 2005, we introduced laparoscopic adjustable gastric banding (LAGB) with the LAP-BAND system into Japan. Here, we evaluate our intermediate-term results with the LAP-BAND system. METHODS: Between August 2005 and June 2010, 27 Japanese patients with morbid obesity (BMI ≥ 35 kg/m(2) ) underwent LAGB with the LAP-BAND system in our institution. Our patients' average weight was 111 kg and BMI was 41 kg/m(2) ...
February 2013: Asian Journal of Endoscopic Surgery
Amy Freeth, Petpring Prajuabpansri, Jennifer M Victory, Paul Jenkins
BACKGROUND: Until recently, there was limited documented data on both dietary and serum selenium deficiency in bariatric surgery. We performed an evaluation of selenium intake and both serum selenium and glutathione peroxidase (GTP; as a functional measurement of selenium) before and after roux-en-Y (RNY) gastric bypass and gastric banding surgery. METHODS: The endpoints obtained from the subjects included dietary intake of selenium and vitamins E and C, as well as serum levels of selenium, GTP and vitamins E...
November 2012: Obesity Surgery
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