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Abdelrahman A Nimeri, Ahmed Maasher, Talat Al Shaban, Elnazeer Salim, Maha Ibrahim
BACKGROUND: Conversion of laparoscopic adjustable gastric banding (LAGB) to other operations is commonly done for significant weight recidivism and complications. METHODS: This is a consecutive series of LAGB converted to RYGB done at the Bariatric and Metabolic Institute (BMI) Abu Dhabi from 2009 to 2013 for weight recidivism. Our preferred approach is to convert LAGB to LRYGB in one stage. All patients undergo upper endoscopy (EGD) and upper gastrointestinal series and are started on clears liquids 2 h after surgery without performing UGI studies...
October 12, 2016: Obesity Surgery
Žygimantas Juodeikis, Tomas Abalikšta, Vilma Brimienė, Gintautas Brimas
BACKGROUND: Various types of adjustable gastric bands are used during LAGB, but there is insufficient data comparing different bands in the long term. We carried out a prospective randomized study to compare two different bands. METHODS: Between January 1, 2009 and January 31, 2010, 103 morbidly obese patients were randomized between SAGB and MiniMizer Extra adjustable gastric bands. The SAGB was used in 49 and MiniMizer Extra in 54 patients. Weight loss, comorbidities, long-term complications, and quality of life were evaluated after 5 years...
October 11, 2016: Obesity Surgery
Sergio Carandina, Malek Tabbara, Leila Galiay, Claude Polliand, Daniel Azoulay, Christophe Barrat, Andrea Lazzati
BACKGROUND: Obesity is a chronic disease that requires procedures to enable to maintain good long-term results. Laparoscopic adjustable gastric banding (LAGB) studies with a long-term follow-up are limited and have often given conflicting results. We report our results in terms of banding life span and weight loss in a cohort of 301 patients operated on LAGB with a minimum follow-up of 10 years. METHODS: All patients who underwent LAGB at our university hospital between 1998 and 2004 were included in this study...
October 3, 2016: Obesity Surgery
Anuprita Patkar, Elliott Fegelman, Sangeeta Kashyap, Stacy Brethauer, Eric Bour, Andrew Yoo, Gang Li
AIMS: To evaluate the real world effect of laparoscopic bariatric surgery-adjustable gastric banding (LAGB), laparoscopic Roux-en-Y gastric bypass (LRYGB), and laparoscopic sleeve gastrectomy (LSG)-on the management of obesity-related comorbidities. METHODS: Patients who underwent laparoscopic bariatric surgeries between 2006 and 2013 were identified from the Optum Clinformatics administrative claims database. Those surgical patients were matched to medically-managed patients (controls) on selected patient characteristics...
September 29, 2016: Diabetes, Obesity & Metabolism
Itay Wiser, Eliezer Avinoah, Oren Ziv, Adam J Parnass, Roni Averbuch Sagie, Lior Heller, Tali Friedman
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) surgery is the safest yet least effective method for massive weight loss. Thirty to 50 percent of patients undergoing LAGB will regain part of their lost weight. OBJECTIVE: To evaluate the effect of body contouring plastic surgery (BCPS) following LAGB on long-term body mass index (BMI) control. SETTING: Department of Surgery A, Soroka University Medical Center, Beer-Sheva, Israel...
September 7, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
T Horbach, G Meyer, S Morales-Conde, I Alarcón, F Favretti, M Anselmino, G M Rovera, J Dargent, C Stroh, M Susewind, A J Torres
OBJECTIVE: To compare the weight loss, change in quality of life (QOL) and safety of closed-loop gastric electrical stimulation (CLGES) versus adjustable gastric band (LAGB) in the treatment of obesity. METHODS: This multicenter, randomized, non-inferiority trial randomly assigned the patients in a 2:1 ratio to laparoscopic CLGES versus LAGB and followed them for 1 year. We enrolled 210 patients, of whom 50 were withdrawn preoperatively. Among 160 remaining patients (mean age=39±11 years; 75% women; mean body mass index=43±6 kg m(-)(2)) 106 received CLGES and 54 received LAGB...
October 11, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Karl J Neff, Gregory Baud, Violeta Raverdy, Robert Caiazzo, Helene Verkindt, François Pattou, Carel W le Roux, Christian Noel
PURPOSE: This study examines the effect of Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB) on renal function for at least 5 years post-operatively in a tertiary referral center for bariatric surgery. MATERIALS AND METHODS: This prospective cohort study of patients undergoing RYGB and LAGB measured renal function, blood pressure, and diabetes status pre-operatively and then 1 and 5 years post-operatively. Renal function was assessed using the Modification of Diet in Renal Disease (MDRD), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), and Cockcroft-Gault formulae...
September 14, 2016: Obesity Surgery
Françoise Schmitt, Philippe Topart, Agnès Salle, Loïc Sentilhes, Natacha Bouhours-Nouet, Régis Coutant, Dominique Weil, Guillaume Podevin
We report here a case of a rarely described complication of laparoscopic adjustable gastric banding (LAGB), slippage during the postpartum period, after LAGB had been performed in an adolescent obese girl. The LAGB had been placed after one year of clinical survey initiated at the age of 16. Maximal pre-operative body mass index (BMI) was 48.5 kg.m(-2) and obesity was associated with insulin resistance. Before pregnancy, there was a loss of 17 Kg (final BMI = 41.5 kg.m(-2)) and a resolution of insulin resistance...
2016: Journal of Surgical Case Reports
Trit Garg, Ulysses Rosas, Daniel Rogan, Harrison Hines, Homero Rivas, John M Morton, Dan Azagury
INTRODUCTION: Readmissions are an important quality metric for surgery. Here, we compare characteristics of readmissions across laparoscopic Roux-en-Y gastric bypass (LRYGB), sleeve gastrectomy (LSG), and adjustable gastric band (LAGB). METHODS: Demographic, intraoperative, anthropometric, and laboratory data were prospectively obtained for 1775 patients at a single academic institution. All instances of readmissions within 1 year were recorded. Data were analyzed using STATA, release 12...
September 9, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Amalia Gastaldelli, Amerigo Iaconelli, Melania Gaggini, Maria Chiara Magnone, Augusto Veneziani, Francesco Rubino, Geltrude Mingrone
OBJECTIVE: Bariatric surgery has been shown to have important long-term metabolic effects resulting in enhanced insulin sensitivity and improved glucose tolerance in patients with type 2 diabetes. The contribution of reduced caloric intake to these beneficial effects of surgery remains unclear. The aim of this study was to compare the short-term effects (1 week) of bariatric surgical procedures with a very low caloric intake (VLCI) on insulin sensitivity (IS) and insulin secretion (ISR) in nondiabetic obese subjects...
August 29, 2016: Diabetes Care
Mitchell S Cappell, Estela Mogrovejo, Tusar Desai
No abstract text is available yet for this article.
November 2016: Digestive Diseases and Sciences
Jude Hancock, Sue Jackson, Andrew B Johnson
BACKGROUND: Laparoscopic adjustable gastric band (LAGB) surgery is used to enable individuals to lose weight. However, the long-term weight loss outcomes for individuals with a body mass index (BMI)≥50 kg/m(2) and/or age≥50 years at time of banding remains debated. To date, data reported is largely from populations outside the United Kingdom. OBJECTIVES: To explore long-term weight loss outcomes based on individuals' pre-LAGB age and BMI. SETTING: Data were collected from individuals in the United Kingdom attending a national health service weight loss surgery service...
June 3, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Pablo Quadri, Raquel Gonzalez-Heredia, Mario Masrur, Lisa Sanchez-Johnsen, Enrique F Elli
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) was a popular procedure in the USA and Europe in the past decade. However, its use has currently declined. Band erosion (BE) is a rare complication after LAGB with a reported incidence rate of 1.46 %. Controversies exist regarding the management, approach and timing for the band removal. The aim of this study is to describe the rate, clinical presentation and perioperative outcomes of BEs at our institution and provide overall recommendations regarding the diagnosis and management of BE...
August 23, 2016: Surgical Endoscopy
Verena Wieser, Timon E Adolph, Barbara Enrich, Patrizia Moser, Alexander R Moschen, Herbert Tilg
BACKGROUND & AIMS: Obesity and its related co-morbidities such as non-alcoholic fatty liver disease (NAFLD) are increasing dramatically worldwide. The genetic variation in Patatin-like phospholipase domain-containing protein 3 (PNPLA3), which is also called adiponutrin (ADPN), in residue 148 (I148M, rs738409) has been associated with NAFLD. However, the regulation and function of PNPLA3 in metabolic diseases remains unclear. Laparoscopic gastric banding (LAGB) of severely obese patients reduces body weight, liver and adipose tissue inflammation...
August 12, 2016: Liver International: Official Journal of the International Association for the Study of the Liver
Charmaine S Tam, Leanne M Redman, Frank Greenway, Karl A LeBlanc, Mark G Haussmann, Eric Ravussin
CONTEXT: It is not known whether the magnitude of metabolic adaptation, a greater than expected drop in energy expenditure, depends on the type of bariatric surgery and is associated with cardiometabolic improvements. OBJECTIVE: To compare changes in energy expenditure (metabolic chamber) and circulating cardiometabolic markers 8 weeks and 1 year after Roux-en-y bypass (RYGB), sleeve gastrectomy (SG), laparoscopic adjustable gastric band (LAGB), or a low-calorie diet (LCD)...
October 2016: Journal of Clinical Endocrinology and Metabolism
Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal
Laparoscopic adjustable gastric banding (LAGB) is considered the simplest of the bariatric operations. Although studies have confirmed the effectiveness of the LAGB in terms of weight loss and resolution of comorbidities, concerns have developed over its long-term efficacy and safety. Reports have described a high incidence of complications and need for reintervention. These reports and the availability of other effective and well-tolerated procedures have determined a significant decrease in the number of LAGBs performed...
August 2016: Surgical Clinics of North America
Benjamin Le Coq, Vincent Frering, Mohammed Ghunaim, Pierre Campan, André Dabrowski, Emmanuel Mulliez, Eric Loridan, Frédéric Combemale, Franck Denimal, Fanelly Torres, Gregory Baud, Camille Thibault, Guelareh Dezfoulian, Laurent Arnalsteen, Alain Duhamel, François Pattou, Robert Caiazzo
OBJECTIVE: The aim of the study was to explore the impact of the absence of band fixation on the reoperation rate and to identify other risk factors for long-term complications. BACKGROUND: Laparoscopic adjustable gastric banding has been demonstrated to permit important weight loss and comorbidity improvement, but some bands will have to be removed mainly for failure or in case of planned 2-step surgery. Then, the absence of a gastro-gastric suture (GGS) would allow easier band removal...
November 2016: Annals of Surgery
Mehmet Sertkaya, Arif Emre, Fatih Mehmet Yazar, Ertan Bülbüloğlu
Laparoscopic adjustable gastric banding (LAGB) used to be a very popular bariatric procedure at a certain time for the treatment of obesity as it has many advantages and is associated with low morbidity and mortality rates. Complications are often late and are rarely seen by general surgeons due to the limited number of patients, and physicians should be aware of the symptoms. We present a case of a 40-year-old female patient who underwent LAGB and was admitted for a huge gastric pouch dilatation on postoperative day 5...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
K Arapis, P Tammaro, L Ribeiro Parenti, A L Pelletier, D Chosidow, M Kousouri, C Magnan, B Hansel, J P Marmuse
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) remains one of the most performed bariatric procedures worldwide, but a few long-term studies have been reported often with limited data at time of longest follow-up. We review our 18-year LAGB experience with special regard to weight loss failure and long-term complications leading to band removal. METHODS: We performed 897 LAGB procedures from April 1996 to December 2007: 376 using the perigastric dissection and 521 using the pars flaccida dissection...
July 22, 2016: Obesity Surgery
Ivan Kruljac, Gorana Mirošević, Lora Stanka Kirigin, Marko Nikolić, Neven Ljubičić, Ivan Budimir, Miroslav Bekavac Bešlin, Milan Vrkljan
BACKGROUND: Although various metabolic hormones have been implicated in bariatric-related weight loss, their use as predictors of weight loss is unknown. Our study evaluates changes in metabolic hormones after bariatric surgery, and their role as predictors of weight loss. METHODS: This nonrandomized study included 51 patients, 21 underwent laporascopic adjustable gastric banding (LAGB), 15 laporoscopic sleeve gastrectomy (LSG), and 15 Roux-en Y gastric bypass (RYGB)...
July 20, 2016: Clinical Endocrinology
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