Bariatric Surgery for the Treatment of Morbid Obesity: A Meta-analysis of Weight Loss Outcomes for Laparoscopic Adjustable Gastric Banding and Laparoscopic Gastric Bypass

2009 ◽  
Vol 19 (10) ◽  
pp. 1447-1455 ◽  
Author(s):  
Jane Garb ◽  
Garry Welch ◽  
Sofija Zagarins ◽  
Jay Kuhn ◽  
John Romanelli
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Laparoscopic Gastric Bypass ◽  
Adjustable Gastric Banding ◽  
Meta Analysis ◽  
Weight Loss Outcomes

Analyzing the Effects of Psychotherapy on Weight Loss after Laparoscopic Gastric Bypass or Laparoscopic Adjustable Gastric Banding in Patients with Borderline Personality Disorder: A Prospective Study

2017 ◽  
Vol 106 (4) ◽  
pp. 299-304 ◽  
Author(s):  
F. Gallé ◽  
A. Cirella ◽  
A. M. Salzano ◽  
V. Di Onofrio ◽  
P. Belfiore ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Laparoscopic Gastric Bypass ◽  
Adjustable Gastric Banding ◽  
Borderline Personality ◽  
Total N

Background and Aims: Personality disorders are frequently associated with eating disorders in obese patients and may negatively affect weight loss and maintenance after bariatric surgery. This non-randomized study aimed to assess the effects of different psychotherapeutic interventions on weight loss in a sample of patients with borderline personality disorder who underwent laparoscopic gastric bypass or laparoscopic adjustable gastric banding. Materials and Methods: A total of 153 bariatric patients meeting borderline personality disorder criteria were chosen voluntarily and consecutively to undergo an interpersonal individual treatment (n = 50), a dialectical behavioral group treatment (n = 50), or treatment as usual (n = 53) for a year after surgery. Their body mass index was measured before and at the end of each treatment. Results and Conclusion: A total of 12 patients (7.8%) dropped out of the study. Significantly higher body mass index reductions were registered in both experimental groups (−14.2 and −9.4 kg/m2, respectively) compared with the treatment as usual group (−2.1 kg/m2; p < 0.01). Treated patients who underwent laparoscopic gastric bypass (total n = 94) showed better outcomes than those who underwent laparoscopic adjustable gastric banding (total n = 45), while no differences were observed in untreated patients. This study demonstrates the role of pre-operative psychological assessment and post-operative psychotherapeutic support in improving weight loss among bariatric patients with borderline personality disorder. A randomized controlled trial is needed to confirm these preliminary findings.

Sign in / Sign up

Export Citation Format

Share Document