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Laparoscopic Adjustable Gastric Banding - Treatment of Grade 3 Obesity
Stomach Banding to Treat
Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid (Grade 3) Obesity and its
In this study, 143 patients with grade 3 obesity underwent laparoscopic adjustable gastric banding and a 3-year follow-up for clinical (BMI, waist circumference, waist to hip ratio, and arterial blood pressure) and metabolic variables (glycosylated hemoglobin, fasting insulin and glucose, insulin and glucose response to oral glucose tolerance test, homeostasis model assessment index, total and high-density lipoprotein cholesterol, triglycerides, uric acid, and transaminases). At baseline and 1 yr after Laparoscopic adjustable gastric banding, patients underwent computerized tomography and ultrasound evaluation of visceral and sc adipose tissue. One-year metabolic results were compared with 120 obese patients receiving standard dietary treatment.
Laparoscopic adjustable gastric banding induced a significant and persistent weight loss and decrease of blood pressure. Greater metabolic effects were observed in T2DM patients than in NGT and IGT patients, so that at 3 year glycosylated hemoglobin was no longer different in NGT and T2DM subjects. Clinical and metabolic improvements were proportional to the amount of weight loss. Laparoscopic adjustable gastric banding induced a greater reduction of visceral fat than sc fat. At 1-year evaluation, weight loss and metabolic improvements were greater in Laparoscopic adjustable gastric banding-treated than diet-treated patients.
We conclude that LAGB is an effective treatment of grade 3 obesity in inducing long-lasting reduction of body weight and arterial blood pressure, modifying body fat distribution, and improving glucose and lipid metabolism, especially in T2DM.
The Journal of Clinical Endocrinology & Metabolism Vol. 87, No. 8 3555-3561. Copyright © 2002 by The Endocrine Society
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources