Bariatric Surgery information
Laparoscopic Adjustable Gastric Banding for the Treatment of Grade 3 Obesity, Metabolic Complications

LAGB Induces Improves Weight, Arterial Blood Pressure, Body Fat Distribution, Glucose and Lipid Metabolism

Bariatric Surgery - Bariatric Research Studies

Laparoscopic Adjustable Gastric Banding for the Treatment of Grade 3 Obesity and Its Metabolic Complications: A Three Year Study

Weight loss ameliorates arterial hypertension and glucose metabolism in obese patients, but the dietary approach is unsatisfactory because obesity relapses. Durable reduction of body weight, obtained through major nonreversible surgical procedures, such as jejunal and gastric bypass, allows improvement of glucose metabolism and arterial blood pressure in morbid (grade 3) obesity. Laparoscopic adjustable gastric banding (LAGB) is a minimally invasive and reversible surgical procedure that yields a significant reduction of gastric volume and hunger sensation. In this study, 143 patients with grade 3 obesity [27 men and 116 women; age, 42.9 +/- 0.83 yr; body mass index (BMI), 44.9 +/- 0.53 kg/m(2); normal glucose tolerance; impaired glucose tolerance; type 2 diabetes mellitus 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).

Method

At baseline and 1 year 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.

Results

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 yr 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 LAGB-treated than diet-treated patients.

Conclusion

We conclude that Laparoscopic adjustable gastric banding 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.

Source:
Pontiroli AE, Pizzocri P, Librenti MC, Vedani P, Marchi M, Cucchi E, Orena C, Paganelli M, Giacomelli M, Ferla G, Folli F. Universita degli Studi di Milano, Cattedra di Medicina Interna, Italy. 2002

Bariatric Surgery
Adjustable Gastric Banding UK - After Lap-Band Surgery - Band Repositioning Slippage - Long Term Effects Gastric Banding - BAROS) Laparoscopic Gastric Banding - Lap-Band Weight Loss Surgery Effects - Esophagogastric Banding - Gastric Banding Grade 3 Obesity - Gastric Banding Older Obese Patients - Laparoscopic Adjustable Gastric Banding UK - Gastroplasty Conversion - Homocysteine Levels Folate B12 - Laparoscopic Adjustable Gastric Banding Morbid Obesity - Laparoscopic Adjustable Band - Laparoscopic Gastric Banding Side Effects - Laparoscopic Banding Surgical Technique - Laparoscopic Lap-Band Outcomes - Laparoscopic Gastric Lap-Band Trial - Laparoscopic Silicone Gastric Banding Operation - Radiological Imaging After Banding - Revision of Failed Gastric Bariatric Operations - Silicone Gastric Banding Failure Rate - Visceral Subcutaneous Fat - Dietary Changes After Gastroplasty - Duodenal Switch Dyslipoproteinemia - Gastroplasty Eating Behavior - Gastrointestinal Quality of Life - Hand Assisted Laparoscope VGB - Laparoscopic Gastroplasty - Laparoscopic Stapling - Vertical Banded Gastroplasty Results - Mason-MacLean Gastroplasty - Non-Adjustable Silicone Ring - Open Versus Laparoscopic Gastroplasty - Patient Compliance Gastroplasty - Peptide YY After Gastroplasty - Personality Profiles Obese Patients - Pre-Operative Resting Weight Loss - Weight Loss After Gastroplasty - Back Pain After Gastroplasty - Bariatric Follow-up Outcomes - Binge Eating Disorder Bariatrics - Bone Mass After Gastric Bypass - Bone Metabolism Gastroplasty - Gastric Bypass Venous Stasis - Gastric Surgery Insulin Effects - Weight Loss Surgery Sleep Apnea - Weight Loss Surgery Free Radical Antioxidants - Gastroplasty Diabetes Dyslipidemia - Insulin Tolerance in Bariatric Surgery Patients - Laparoscopic Gastroplasty Study - Nutritional Complications Gastric Bypass - Obesity-Associated Disorders - Orthostatic Hypotension - Gastric Bypass Health Improvements - Predictors of Complication after Roux-en-Y Bypass - Pseudo-Achalasia Gastric Banding - Gastric Acid Secretion Reduction in Bariatric Surgery - Roux-en-Y Gastric Bypass Evaluation - Predicting Success After Roux-en-Y - Psychiatric Diagnosis Gastric Surgery - Psychopathological Status After Weight Loss - Psychosocial Factors Weight Loss After Bariatric Surgery - Quality of Life After Weight Loss Surgery - Socio-economic Characteristics Obesity Surgery - Large Volume Liposuction Effects - Weight Loss Surgery Reoperations - Laparoscopic Reoperative Surgery - Weight Loss After Gastric Surgery - Pregnancy after Gastric Banding - Pregnancy after Lap-Band Surgery - Weight Loss Co-Morbid Conditions - Weight Loss After Bariatric Surgery

BARIATRIC & GASTRIC SURGERY INFORMATION

What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty


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