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Long-term outcome after laparoscopic adjustable gastric banding for morbid obesity

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ABSTRACT

This study was performed to determine the long-term consequences of laparoscopic gastric banding on weight loss, body image, and life quality in morbidly obese patients. After a minimum follow-up of 9 years (mean follow-up 10 years; range 9–12 years) several questionnaires concerning weight loss, body image, and life quality were mailed to 180 morbidly obese patients following laparoscopic adjustable gastric banding. One hundred and twelve (62%) patients (92 females, 20 males) completed and returned the questionnaires. Of the entire sample, 73 (64.9%) patients still had the first band, 17 (15.3%) a second band, and in 22 (19.8%) probands the band had been removed for various reasons. Average weight loss, calculated as change in body mass index, was 13.9 kg/m2. Average excess weight loss (EWL) was 30.6%. A total of 10% patients accounted for >50% of EWL. Half of the probands were completely satisfied with their weight loss and about half had reached their planned weight. Lowest post-operative weight was reached at different times, in nearly half of the probands after 2 years, in one-fourth after 4–5 years, and in about 20% at a later time. More than 90% of the probands experienced longer interruptions in weight loss; about half knew why. The findings indicate that overall quality of life was rated good to excellent by two-thirds of the probands, and fair to poor by one-third. A close correlation was seen between extent of weight loss and quality of life and body image. Despite some limitations, laparoscopic adjustable gastric banding is an effective and safe long-term surgical treatment for a majority of morbidly obese individuals, resulting in long-term weight loss and health-related quality of life. However, there is also a minority of morbidly obese subjects who do not benefit enough from this kind of bariatric surgery. Future research should investigate what kind of bariatric surgery is best for the particular obese individual in order to minimize unsatisfying post-operative results.

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References

  1. van Hout G, van Heck G. Bariatric psychology, psychological aspects of weight loss surgery. Obes Facts 2009; 2: 10–5.

    Article  PubMed  Google Scholar 

  2. Tolonen P, Victorzon M, Makela J. Impact of laparoscopic adjustable gastric banding for morbid obesity on disease-specific and health-related quality of life. Obes Surg 2004; 14: 788–94.

    Article  PubMed  Google Scholar 

  3. Hotter A, Mangweth B, Kemmler G, et al. Therapeutic outcome of adjustable gastric banding in morbid obese patients. EatingWeight Disord 2003; 8, 218–24.

    CAS  Google Scholar 

  4. Weiner R, Blanco-Engert R, Weiner S, et al. Outcome after laparoscopic adjustable gastric banding — 8 years experience. Obes Surg 2003; 3: 427–34.

    Article  Google Scholar 

  5. Lanthaler M, Aigner F, Kinzl JF, et al. Long-term results and complications following adjustable gastric banding”. Obes. Surg 2010; 20: 1078–85.

    Article  PubMed  Google Scholar 

  6. Sánchez-Santos R, Ruiz de Gordejuela AG, Gómez N, et al. Factors associated with morbidity and mortality after gastric bypass. Alternatives for risk reduction: sleeve gastrectomy. Cir Esp 2006; 80: 90–5.

    Article  PubMed  Google Scholar 

  7. Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes (Lond) 2007; 31, 1248–61.

    Article  CAS  Google Scholar 

  8. Holterman AX, Browne A, Tussing L, et al. A prospective trial for laparoscopic adjustable gastric banding in morbidly obese adolescents: an interim report of weight loss, metabolic and quality of life outcomes. J Pediatr Surg 2010; 45: 74–8.

    Article  PubMed  Google Scholar 

  9. Clement U, Loewe B. Fragebogen zum Körperbild (FKB-20). Goettingen, Hogrefe Verlag für Psychologie, 1996.

    Google Scholar 

  10. Oria HE, Moorehead MK. Bariatric Analysis and Reporting Outcome System (BAROS). Obes Surg 1998; 8: 487–99.

    Article  CAS  PubMed  Google Scholar 

  11. Weiner S, Sauerland S, Fein M, et al. The Bariatric Quality of Life (BQL)-Index: A measure of well-being in obesity surgery patients. Obes Surg 2005; 15: 538–45.

    Article  PubMed  Google Scholar 

  12. Weiner S, Sauerland S, Weiner R, et al. Validation of the Bariatric Quality of Life Index (BQL) in a prospective study in 446 bariatric patients as one-factor model. Obes Facts 2009; 2 (Suppl 1): 63–6.

    Article  PubMed  Google Scholar 

  13. Pfaffenberger N, Gutweniger S, Kopp M, et al. Impaired body image in patients with multiple sclerosis. Acta Neurol Scand 2011; 124: 165–70.

    Article  CAS  PubMed  Google Scholar 

  14. Hubbard VS, Hall WH. Gastrointestinal surgery for severe obesity. Obes Surg 1991; 1: 257–65.

    Article  PubMed  Google Scholar 

  15. Manterola C, Pineda V, Vial M, et al. Surgery for morbid obesity: selection of operation based on evidence from literature review. Obes Surg 2005; 15: 106–13.

    Article  PubMed  Google Scholar 

  16. Favretti F, Ashton D, Busetto L. The gastric band: first choice procedure for obesity surgery. World J Surg., 33, 2039–2048, 2009.

    Article  PubMed  Google Scholar 

  17. Nehoda H, Weiss H, Labeck B, et al. Results and complications after adjustable gastric banding in a series of 250 patients. Am J Surg 2001; 136: 12–5.

    Article  Google Scholar 

  18. Zinzindohoue F, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity: a prospective study of 500 consecutive patients. Ann Surg 2003; 237: 1–9.

    Article  PubMed Central  PubMed  Google Scholar 

  19. van Hout GC, Verschure SK, van Heck GL: Psychological predictors of success following bariatric surgery. Obes Surg 2005; 15: 552–60.

    Article  PubMed  Google Scholar 

  20. Van Hout GC, Fortuin FA, Pelle AJ, et al. Health-related quality of life following vertical banded gastroplasty. Surg Endosc 2009; 23: 550–6.

    Article  PubMed  Google Scholar 

  21. Branson R, Potocna N, Brunotte R, et al. Impact of sex, age and body mass index on outcomes at four years after gastric banding. Obes Surg 2005; 15: 834–42.

    Article  PubMed  Google Scholar 

  22. Mueller MK, Wenger C, Schiesser M, et al. Quality of life after bariatric surgery — a comparative study of laparoscopic banding vs. bypass. Obes Surg 2008; 18: 1551–7.

    Article  Google Scholar 

  23. Sarwer DB, Cohn NI, Gibbons LM, et al. Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidtates. Obes Surg 2004; 14: 1148–56.

    Article  PubMed  Google Scholar 

  24. Fabricatore AN, Wadden TA, Sarwer DB, et al. Healthrelated quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg 2005; 15: 304–9.

    Article  PubMed  Google Scholar 

  25. Nickel MK, Loew TH, Bachler E. Change in mental symptoms in extreme obesity patients after gastric banding, part II: Six-year follow-up. Int J Psychiatry Med 2007; 37: 69–79.

    Article  CAS  PubMed  Google Scholar 

  26. Kinzl JF. Morbid obesity: significance of psychological treatment after bariatric surgery. Eat Weight Disord 2010; 15: e275–80.

    CAS  PubMed  Google Scholar 

  27. Kinzl JF, Schrattenecker M, Traweger C, et al. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg 2006; 16: 1609–14.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychosomatic Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria

    J. F. Kinzl MD & K. Stuerz

  2. Department of Surgery, Innsbruck Medical University Hospital, Innsbruck, Austria

    M. Lanthaler & F. Aigner

Authors
  1. J. F. Kinzl MD
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  2. M. Lanthaler
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  3. K. Stuerz
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  4. F. Aigner
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Correspondence to J. F. Kinzl MD.

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Kinzl, J.F., Lanthaler, M., Stuerz, K. et al. Long-term outcome after laparoscopic adjustable gastric banding for morbid obesity. Eating Weight Disord. 16, e250–e256 (2011). https://doi.org/10.1007/BF03327468

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  • DOI: https://doi.org/10.1007/BF03327468

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