Document Detail


Evaluation of the Swedish adjustable gastric band VC (SAGB-VC) in an Australian population: early results.
MedLine Citation:
PMID:  23187036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Swedish adjustable gastric band VC (SAGB-VC) has been in use in Australia since 2007. We evaluated its efficacy and safety.
METHODS: We retrospectively analyzed the prospective clinical data of patients who received the implant between November 2007 and June 2009 at 3 Australian bariatric centres.
RESULTS: In all, 1176 patients (mean age 45.9 [standard deviation (SD) 12.3] yr, mean body mass index 43.4 [SD 7.6]) received the SAGB-VC. At a mean follow-up of 11 (SD 3) months, weight reduced by a mean of 18.4 (SD 11.1) kg with an excess weight loss of 37.8% (SD 19.9%). Body mass index decreased (from mean 43.4 [SD 7.7] to mean 36.7 [SD 6.5], p < 0.001). Type 2 diabetes (T2DM) was reported in 167 patients and hypertension in 373. Improvement occurred in 73.5% of patients with T2DM and 31% with hypertension, with patient-reported reduction or cessation of medication. Metabolic syndrome indices improved during follow-up: high-density lipoprotein cholesterol (mean 1.3 [SD 0.3] v. mean 1.4 [SD 0.3] mmol/L, p < 0.001), triglycerides (mean 1.6 [SD 0.8] v. mean 1.3 [SD 0.7] mmol/L, p < 0.001), waist circumference (men 141 [SD 103] to 121 [SD 15] cm, women 117 [SD 14] to 105 [SD 14] cm, both p < 0.001), C-reactive protein (90.5 [SD 75.2] v. 53.3 [SD 61.9] nmol/L, p < 0.001). The complication rate was 4.2%.
CONCLUSION: The SAGB-VC is safe and effective for treating obesity and its comorbidities. The results are reproducible in separate Australian centres and consistent with published literature.
Authors:
Jennifer B Keogh; Anthony Brancatisano; Sue F Taylor; Fiona McDonald; Roy Brancatisano; Jeffrey M Hamdorf; Jacob Chisholm; Lillian Kow; Sara Wahlroos; Brendan Ryan; Jim Toouli
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  56     ISSN:  1488-2310     ISO Abbreviation:  Can J Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-03-17     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  15-20     Citation Subset:  IM    
Affiliation:
The Australian Institute of Weight Control, Adelaide, Australia. jennifer.keogh@unisa.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Australia
Biological Markers / blood
Blood Glucose / metabolism
Body Mass Index*
C-Reactive Protein / metabolism
Cholesterol, HDL / blood
Comorbidity
Diabetes Mellitus, Type 2 / blood
Female
Follow-Up Studies
Gastroplasty* / adverse effects,  instrumentation,  methods
Humans
Hypertension / complications,  drug therapy
Insulin / blood
Interdisciplinary Communication
Male
Metabolic Syndrome X / blood
Middle Aged
Obesity, Morbid / complications,  surgery*
Prospective Studies
Reproducibility of Results
Retrospective Studies
Sweden
Treatment Outcome
Triglycerides / blood
Waist Circumference*
Weight Loss*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Blood Glucose; 0/Cholesterol, HDL; 0/Insulin; 0/Triglycerides; 9007-41-4/C-Reactive Protein
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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