Document Detail


Patient characteristics impacting excess weight loss following laparoscopic adjustable gastric banding.
MedLine Citation:
PMID:  15826467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Weight loss is more variable after laparoscopic adjustable gastric banding (LAGB) than after gastric bypass. Subgroup analysis of patients may offer insight into this variability. The aim of our study was to identify preoperative factors that predict outcome. METHODS: Demographics, co-morbid conditions and follow-up weight were collected for our 1st 200 LapBand patients. Linear regression determined average %EWL. Logistic regression analysis identified factors that impacted %EWL. RESULT: 200 patients returned for 778 follow-up visits. Median age was 44 years (21-72) and median BMI 45 kg/m2 (31-76). 140 (80%) were women. Average %EWL was y % = 0.007 %/day (days since surgery) + 0.12% (correlation coef. 0.4823; P<0.001). %EWL at 1 year was 37%. The best-fit logistic regression model found 7 factors that significantly changed the odds of achieving average %EWL. Older patients, diabetic patients and patients with COPD had greater odds of above average %EWL. Female patients, patients with larger BMIs, asthmatic patients and patients with hypertension had increased odds of below average %EWL. CONCLUSION: Specific patient characteristics and comorbid conditions significantly altered the odds of achieving satisfactory %EWL following gastric banding.
Authors:
Wai Yip Chau; Hans J Schmidt; Wael Kouli; Dan Davis; Annette Wasielewski; Garth H Ballantyne
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  15     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-04-13     Completed Date:  2005-07-14     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  346-50     Citation Subset:  IM    
Affiliation:
Bariatric Surgery Center, Hackensack University Medical Center (HUMC), Hackensack, NJ, USA. mdwyc2@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Asthma / complications
Body Mass Index
Diabetes Complications
Female
Follow-Up Studies
Forecasting
Gastroplasty / methods*
Humans
Hypertension / complications
Laparoscopy / methods*
Linear Models
Male
Middle Aged
Obesity, Morbid / surgery
Prospective Studies
Pulmonary Disease, Chronic Obstructive / complications
Sex Factors
Treatment Outcome
Weight Loss*

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


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