Abstract：
BACKGROUND:Follow-up is critical to the success of laparoscopic adjustable gastric banding (LAGB). Few data guide this and expected norms of satiety, adverse symptoms, and outcomes have not been defined. METHODS:Consecutive patients, who underwent LAGB, were evaluated using a newly developed instrument that assessed satiety, adverse upper gastrointestinal (dysphagia, reflux, and epigastric pain), and outcomes (overall satisfaction, weight loss, and quality of life (SF-36)). RESULTS:Three hundred twenty-three of 408 patients responded (80%; mean age 44.4 ± 11.8 years, 56 males). Excess weight loss was 52%. Satiety was greater at breakfast compared to lunch (5.3 ± 1.9 vs. 4.1 ± 1.7, p < 0.005) or dinner (3.8 ± 1.8, p < 0.005). The satisfaction score was 8.3 ± 2.1 out of 10, and 91% would have the surgery again. Quality of life was less than community norms, except in physical functioning (83.4 ± 20.5 vs. 84.7 ± 22.0, p = 0.25) and bodily pain (78.4 ± 15.2 vs. 75.9 ± 25.3, p = 0.004). Inability to consume certain foods was cited as the biggest problem by 66% of respondents. The dysphagia score was 19.9 ± 8.7; softer foods were tolerated, although difficulty was noted with firmer foods. The reflux score was 8.7 ± 9.8 and regurgitation occurred a mean of once per week. Weight loss and the mental component score were the only predictors of overall satisfaction (r² = 0.46, p = 0.01). CONCLUSIONS:Patients are highly satisfied with the outcome of LAGB and achieve substantial weight after 3 years. Expected ranges of satiety, adverse symptoms, and outcomes have been defined. The most troublesome symptom is the inability to consume certain foods. Weight loss predicted overall satisfaction, regardless of adverse symptoms.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Burton PR,Brown W,Laurie C,Lee M,Korin A,Anderson M,Hebbard G,O'Brien PEdoi
10.1007/s11695-010-0073-7subject
Has Abstractpub_date
2011-05-01 00:00:00pages
574-81issue
5eissn
0960-8923issn
1708-0428journal_volume
21pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：BACKGROUND:The rise in bariatric surgery has driven an increased number of complications from venous thromboembolism (VTE). Evidence supports obesity as an independent risk factor for VTE, but the specific derangements underlying the hypercoagulability of obesity are not well defined. To better characterize VTE risk fo...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9906-7
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:The BioEnterics Intragrastric Balloon (BIB) together with restricted diet has been used for the treatment of obesity and morbid obesity. METHODS:A prospective study was conducted on 100 patients who had undergone the BIB procedure between February 2005 and February 2007. RESULTS:Mean age, mean weight, and ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9565-0
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Current recommendations suggest postponing pregnancy by at least 1 year after gastric bypass. During the first postoperative year, women are in a catabolic phase with a rapid weight loss which may increase the risk of adverse pregnancy and neonatal outcomes. This study tested the hypothesis that the risk of ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-0903-5
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Besides weight loss Scopinaro's operation produces correction of hypercholesterolemia and noninsulin dependent diabetes mellitus in all patients who suffer from these conditions. These results encouraged us to perform biliopancreatic diversion (BPD) without gastric resection, thus preserving the functions of...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089298765555088
更新日期：1998-02-01 00:00:00
abstract：:Limited information is available regarding reversal of gastric bypass. While reversal will lead to weight regain and return of comorbid conditions, procedure reversal is sometimes necessary due to complications. The decision to reverse versus revise is difficult; currently, there are no established guidelines. The obj...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0715-z
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS:Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3617-x
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:Despite their current limitations, metabolic surgery and natural orifice transluminal endoscopic surgery (NOTES), set new horizons. In this article, the first three cases of adjustable gastric banding (AGB) through transvaginal access in obese women are described. METHODS:In the General and Vascular Surgery...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-010-0130-2
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:The Montpellier bariatric team has recently proposed some technical alternatives to decrease the rate of gastroesophageal reflux disease (GERD) after bariatric surgery and also to offer patients an alternative in case of contraindication to Roux-en-Y gastric bypass (RYGBP): the Nissen-Sleeve (N-Sleeve). OBJ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04469-5
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Gastric electrical stimulation (GES) has been proposed as a promising therapeutic option in treating obesity for 20 years. Currently, the available device of GES cannot meet the clinical needs. The purpose of this study is to verify the effect of a new type of adjustable gastric electrical stimulator in redu...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1037-5
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Cognitive dysfunction is associated with reduced postoperative weight loss up to 2 years following surgery, though the role of cognition at more extended follow-up is not yet understood. Thirty-six months following bariatric surgery, we retrospectively compared obese and non-obese patients on 12-week postope...
journal_title：Obesity surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s11695-014-1205-2
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Suggested risk factors for postoperative thrombosis such as high fatty acid levels, hypercholesterolemia and diabetes are common in obese patients. METHODS:In a retrospective study, the case records of 328 patients operated for obesity by gastric procedure from September 1977 until December 1993 were analyz...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089297765555575
更新日期：1997-08-01 00:00:00
abstract：:Hypogonadism frequently occurs in male patients with type 2 diabetes (T2DM) and is linked to insulin resistance and inflammation. Testosterone levels rise acutely in obese patients following bariatric surgery, though long-term changes have not been investigated in a randomized controlled trial. This study evaluated ob...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-017-2881-5
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Obesity is a well known risk factor for obstructive sleep apnea (OSA). Medical therapy is not effective for morbid obesity. Bariatric surgery is therefore a reasonable option for weight reduction for patients with clinically severe obesity. Unrecognized OSA, especially in those patients receiving abdominal s...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089203322509228
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:The present weight stigma study examined whether attitudes toward and employability of a normal weight person can change after learning that the person had been obese. METHODS:Participants (N = 154) viewed an image of a normal weight woman and rated their impression of her. Next, participants rated their im...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1522-5
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:The aims of our study were to compare quality of life (QOL) in obese patients after bariatric surgery with that in controls seeking surgery and to investigate which factors are associated with QOL in the Moorehead-Ardelt Quality of Life Questionnaire II (MA II). MATERIALS AND METHODS:This was a cross-sectional...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2220-2
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Bariatric surgical techniques are based on mechanical restriction rather than functional restriction. Our purpose is to analyze the outcomes of diverted sleeve gastrectomy with ileal transposition (DSIT) as a mode of functional restrictive therapeutic option for class II and class III obese type 2 diabetes m...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1671-1
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Severely obese women have higher obstetric risks and poorer neonatal outcomes. Weight loss reduces obstetric risk. The introduction of a laparoscopically-placed adjustable gastric band, a safe and effective method of weight loss, has given us the ability and responsibility to adjust the band in relation to p...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089201321454123
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:Adjustable banding is safe, low invasive, and effective for losing weight. METHODS:69 patients underwent this procedure by laparotomy or laparoscopy. RESULTS:Patients operated by laparotomy lost more weight than those operated by laparoscopy, but in 4 patients we were forced to re-operate in order to remov...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089200321643584
更新日期：2000-06-01 00:00:00
abstract：BACKGROUND:Morbid obesity is an epidemic in America. This series evaluates the safety and efficacy in the first 1,001 laparoscopic bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida. METHODS:A retrospective review was conducted examining all patients undergoing a primary bariatric proc...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206775565230
更新日期：2006-02-01 00:00:00
abstract：:Although some bariatric guidelines reserve pre-operative trans-abdominal ultrasonography screening for symptomatic patients and those with elevated liver enzymes, there has yet to exist a general consensus regarding this issue. Some centers still employ its use as a vital step in the workup of the bariatric patient. T...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1092-y
更新日期：2014-03-01 00:00:00
abstract：BACKGROUND:One-anastomosis gastric bypass/mini-gastric bypass (OAGB/MGB) remains controversial because it may cause chronic biliary reflux (BR). The risk of developing esogastric cancer due to BR after OAGB/MGB is based on the results of experimental rat studies using esojejunostomy (EJ). The aim of this study was to a...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04521-4
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Severe obesity and metabolic syndrome have been implicated in the development of nonalcoholic fatty liver disease (NAFLD). We evaluated the diagnostic value of liver stiffness measurement (LSM), by transient elastography (FibroScan®) in bariatric surgery candidates with suspected NAFLD. METHODS:A total of 1...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-014-1235-9
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is associated with a significant learning curve. We hypothesize that differences in surgeon and assistant training backgrounds may significantly impact outcomes during the learning curve. METHODS:Retrospective analysis was performed on patients undergoing LRYGB...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892055002374
更新日期：2005-09-01 00:00:00
abstract：BACKGROUND AND AIMS:Bariatric surgery, such as vertical sleeve gastrectomy (VSG), is the most effective long-term treatment for obesity. However, there are conflicting reports on the effect of bariatric surgery on inflammatory bowel disease (IBD). Bariatric surgery increases bile acid concentrations, which can decrease...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-03707-9
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:As our bariatric program matured, we noted that length of stay (LOS) steadily decreased. This led us to analyze our experience to identify factors contributing to this abbreviated LOS and to evaluate the safety of discharging patients with only a 2-day LOS. METHODS:All patients undergoing open Roux-en-Y gas...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089204772787257
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:Medium and long-term efficacy of Roux-en-Y gastric bypass (RYGBP) has previously been demonstrated. However, weight-loss success criteria could be influenced by super-obesity prevalence at baseline. Here, we describe a 5-year follow-up concerning weight loss results, comorbidities, and mortality of a RYGBP B...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9669-6
更新日期：2009-10-01 00:00:00
abstract：INTRODUCTION:Bariatric surgery is considered the most effective treatment for obesity. A recent worldwide survey demonstrated that Laparoscopic Sleeve Gastrectomy (LSG) is the most commonly performed bariatric procedure, while Laparoscopic Adjustable Gastric Banding (LAGB) has been almost abandoned. OBJECTIVES:The aim...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3161-8
更新日期：2018-08-01 00:00:00
abstract：:An older female underwent bariatric surgery which was followed by a significant weight loss and diarrhea, from which C. difficile was isolated just before her hospitalization. Less than 48 hours after admission, she became febrile, developed deep venous thrombosis of the leg and a pulmonary embolus. Blood cultures gre...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089204323093507
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:For many years, the Roux-en-Y Gastric Bypass (RYGB) was considered a good balance of complications and weight loss. According to several short-term studies, single anastomosis duodenal switch or stomach intestinal pylorus sparing surgery (SIPS) offers similar weight loss to RYGB with fewer complications and ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3309-6
更新日期：2018-09-01 00:00:00
abstract：:BACKGROUND: The importance of creating a small 10-20 ml upper pouch when performing a vertical banded gastroplasty (VBG) is often stated in the literature. In order to test the hypothesis that weight loss is superior in patients with a small upper pouch, we examined the weight loss curves for three different pouch siz...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089295765557430
更新日期：1995-11-01 00:00:00
