QUICKLINKS AND VIEW OPITONS
Adjustable gastric banding helps patients lose 30 percent of excess weight
Thursday, June 10, 2004 12:51 pm Email this article
Adjustable gastric banding is currently the most common weight loss surgery. It gained notice a few years ago after singer Carnie Wilson lost a large amount of weight after having the procedure done. Patients lose an average of 36 percent of the excess weight after one year, 38 percent after two years, and finally stabilize some time later having lost 30 percent of their excess weight.
10% OF PATIENTS HAD “GOOD” OR “VERY GOOD” RESULTS; 50% “FAILURES”
According to a standard called BAROS, the outcome was:
- “very good” in 3 percent of patients
- “good” in 7 percent of patients
- “fair” in 40 percent of patients
- “failure” in 50 percent of patients
54% HAVE POSTOPERATIVE COMPLICATIONS; 52% HAVE REOPERATIONS
Half (54 percent) experience postoperative complications requiring hospital treatment for a week or more, and nearly as many (52 percent) underwent a re-operation according to a study from Findland.
33% HAVE BAND REMOVED
One-third (33 percent) of band had to be removed.
The most important complications occurring at a later date after the surgery was performed were:
- esophagitis (irritation of the esophagus) (occuring in 30% of patients)
- obstruction due to slippage of the band or enlargement of the pouch (21% of patients)
- hernia where the incision was made (9% of patients) and
- erosion of the band (9% of patients)
1.6% DIED BECAUSE OF SURGERY
Two people died (1.6 percent) within one month, which were considered to be related to surgery.
Eight more people died during follow-up, which was as long as nine years in some cases. These deaths were not considered to be related to the surgery or the band.
The study looked at 123 patients who had adjustable gastric banding and followed them for an average of 4.5 years.
Thirty-one percent of subjects were males, and 69 percent females. The average age was 44 years, and the average body mass index (BMI) before surgery was 49.
29% OPEN SURGERY, 71% LAPROSCOPIC SURGERY
Of the 123 patients, 29 percent (36) underwent open surgery, and 71 percent (87) underwent laparoscopic surgery.
Martikainen T, Pirinen E, Alhava E, Poikolainen E, Paakkonen M, Uusitupa M, Gylling H. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004 May, 14(5):648-54.
Articles on the same subject can be found here:
On Aug 17, 2004 at 7:28 pm Sue Placey wrote:
. . . . .
Carnie Wilson did not have gastric banding (lap-band) surgery, she had RNY Gastric Bypass. Singer Ann Wilson (no relation) from the rock band Heart had gastric banding.
On Aug 17, 2004 at 7:44 pm Larry Hobbs wrote:
. . . . .
Thank you for this correction.
You are correct. She had Gastric bypass surgery, or Roux-en-Y gastrojejunostomy.
Plastic and reconstructive surgeon, Dr. Alan Zaccaria, M.D. describes the procedure this way:
"Gastric bypass surgery, or Roux-en-Y gastrojejunostomy involves partitioning of the stomach with staples into a pouch one fluid ounce in size.
"The second portion of the small intestine, the jejunum, is then connected to the stomach pouch.
"That means food bypasses the remainder of the stomach, and the first portion of the small intestine, the duodenum.
"The small gastric pouch restricts the amount of food one can eat during a meal, and the bypassed segment of intestine leads to malabsorption of calories.
"The combination of restriction and malabsorption leads to weight loss."
Thanks again for this correction.
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