Laparoscopic Adjustable Gastric Banding: Weight Loss,Co-morbidities,Medication Usage and Quality of Life at One Year |
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Authors: | Jessie H Ahroni Kevin F Montgomery Brad M Watkins |
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Institution: | (1) Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, WA, USA;(2) Northwest Weight Loss Surgery, Kirkland, WA, USA;(3) Northwest Weight Loss Surgery, Kirkland, WA, USA |
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Abstract: | Background: The objective of this study was to determine the weight loss, changes in co-morbidities, medication usage and
general health status at 1 year after laparoscopic adjustable gastric banding (LAGB). Methods: Prospective data were obtained
from all subjects undergoing LAGB. These measurements included a medical history and review of systems, medications, height
and weight and the SF-36 general health survey. Patients were seen for band adjustments as needed throughout the year. At
the 1-year follow-up visit, patients were weighed and interviewed about the status of their health conditions and their current
medications, and the SF-36 was repeated. Results: Between November 2002 and November 2003, 195 patients had LAGB. The majority
of subjects were female (82.8%), married (65.1%), and white (94.9%). Complications occurred in 18 subjects (9.2%). These included
3 slipped bands (1.5%), 4 port problems (2.1%), 8 patients with temporary stoma occlusion (4.1%), 1 explantation (0.5%), and
1 mortality (0.5%). Mean BMI decreased from 45.8 kg/m2 (± 7.7) to 32.3 kg/m2 (± 7.0). Mean percent excess body weight lost was 45.7% (± 17.1) during the first year. Major improvements occurred in arthritis,
asthma, depression, diabetes, gastro-esophageal reflux disease, hyperlipidemia, hypertension, joint and back pain, sleep apnea
and stress incontinence. Medication usage declined remarkably. Quality of life (QoL) by the SF-36 showed highly significant
improvements. Conclusions: At 1 year after LAGB, patients had experienced significant weight loss, resolution of comorbidities,
decreases in medication usage, and improvements in QoL. |
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Keywords: | MORBID OBESITY LAPAROSCOPIC GASTRIC BANDING QUALITY OF LIFE |
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