Weight Loss and Quality of Life After Gastric Band Removal or Deflation
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CLINICAL RESEARCH
Weight Loss and Quality of Life After Gastric Band Removal or Deflation Monika Lanthaler & Stefan Strasser & Franz Aigner & Raimund Margreiter & Hermann Nehoda
Received: 17 March 2009 / Accepted: 30 July 2009 / Published online: 13 August 2009 # Springer Science + Business Media, LLC 2009
Abstract Background The study aim was to retrospectively assess whether patients were able to maintain their weight after gastric band removal or deflation and how they felt about gastric banding. Methods A total of 41 patients (93% female, mean age 34.1 (SD 10.5) years) were included in this study: patients who had their band removed/deflated without further surgical intervention (group 1, n=26) and those who later underwent a second bariatric operation (group 2, n=15). We evaluated weight gain after band removal/during the time between band removal and second bariatric operation. Results Of our patients, 31 (76%) suffered a complication (18 late pouch dilatations, six band infections, five band migrations, and two band leaks) requiring band removal. Ten patients wanted their band removed (six) or emptied (four). Mean time after band removal, when patients had neither a band nor a second bariatric operation, was 2.84 (SD 2.3) years. Five (12.2%) patients maintained their weight, four of whom experienced a learning effect; all others gained weight. Mean body mass index for both groups after the period without a band was 36.7 (SD 8.0) kg/m2 (vs 29.4 (SD 7.0) at removal), and excess weight loss was 33.2% (SD 39.2; vs 69.8% (SD 32.9) at removal). Of our patients, 73% would not agree to gastric banding again. According to the bariatric analysis and reporting outcome system, long-term outcome of patients following band removal was a “failure” in 66% of patients. M. Lanthaler (*) : S. Strasser : F. Aigner : R. Margreiter : H. Nehoda Department of Visceral, Transplantation and Thoracic Surgery, Innsbruck Medical University Hospital, Anichstrasse 35, 6020 Innsbruck, Austria e-mail: [email protected]
Conclusions Long-term outcome following band removal is unsatisfactory in many patients. Nevertheless, a minority of patients was able to maintain its weight loss. Keywords Gastric band removal . Weight kinetics . Learning effect . Quality of life
Introduction Overweight and obesity have increased exponentially throughout the world in the last few decades [1, 2]. A positive energy balance due to recurrent or constant overconsumption of energy, particularly of high-caloric drinks and high-fat foods, and lack of physical exercise [3] are considered to be the maintaining factors of morbid obesity [4]. Morbid obesity implicates serious morbidity [5–8] and decreases life expectancy [9]. As bariatric operations have been shown to effectively achieve and maintain weight loss [10–12], surgery is considered the treatment of choice for morbid obesity at the present time and has been demonstrated to reduce obesity-related morbidity and mortality [13]. Bariatric interventions should cause patients to change their eating patterns, to
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