Under and over 50: exploring long-term weight-loss outcomes following laparoscopic adjustable gastric band by age and body mass index group

Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Severe continuing pain persisting after band deflation and even gastric band removal should be treated as an emergency and urgent investigation should not be delayed.

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Relationship Between Weekly Patterns of Caloric Intake and Reported Weight Loss Outcomes: Retrospective Cohort Study (Preprint)

10.2196/preprints.8320 ◽

2017 ◽

Author(s):

Christine Hill ◽

Brian W Weir ◽

Laura W Fuentes ◽

Alicia Garcia-Alvarez ◽

Danya P Anouti ◽

...

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Linear Regression ◽

Mobile Phone ◽

Body Mass ◽

Caloric Intake ◽

Body Mass Index Category ◽

Obese Adults ◽

Weight Loss Outcomes ◽

The Relationship

BACKGROUND Although millions of overweight and obese adults use mobile phone apps for weight loss, little is known about the predictors of success. OBJECTIVE The objective of this study was to understand the relationship between weight loss outcomes and weekly patterns of caloric intake among overweight and obese adults using a mobile phone app for weight loss. METHODS We examined the relationship between weekly patterns of caloric intake and weight loss outcomes among adults who began using a weight loss app in January 2016 and continued consistent use for at least 5 months (N=7007). Unadjusted and adjusted linear regression analyses were used to evaluate the predictors of percentage of bodyweight lost for women and men separately, including age, body mass index category, weight loss plan, and difference in daily calories consumed on weekend days (Saturday and Sunday) versus Monday. RESULTS In adjusted linear regression, percentage of bodyweight lost was significantly associated with age (for women), body mass index (for men), weight loss plan, and differences in daily caloric intake on Mondays versus weekend days. Compared with women consuming at least 500 calories more on weekend days than on Mondays, those who consumed 50 to 250 calories more on weekend days or those with balanced consumption (±50 calories) lost 1.64% more and 1.82% more bodyweight, respectively. Women consuming 250 to 500 calories or more than 500 calories more on Mondays than on weekend days lost 1.35% more and 3.58% more bodyweight, respectively. Compared with men consuming at least 500 calories more on weekend days than on Mondays, those consuming 250 to 500 calories or more than 500 calories more on Mondays than on weekend days lost 2.27% and 3.42% less bodyweight, respectively. CONCLUSIONS Consistent caloric intake on weekend days and Mondays or consuming slightly fewer calories per day on Mondays versus weekend days was associated with more successful weight loss. CLINICALTRIAL ClinicalTrials.gov NCT03136692; https://clinicaltrials.gov/ct2/show/NCT03136692 (Archived by WebCite at http://www.webcitation.org/6y9JvHya4)

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Unique complication of laparoscopic adjustable gastric band? A misplaced band encircling the abdominal aorta

BMJ Case Reports ◽

10.1136/bcr-2018-228082 ◽

2018 ◽

Vol 11 (1) ◽

pp. e228082

Author(s):

Mohamed Sahloul ◽

Douglas Bowley ◽

Martin Richardson

Keyword(s):

Abdominal Aorta ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Potential Hazard ◽

Recent Past ◽

Insertion Technique ◽

Operative Removal ◽

Gastric Bands

In the recent past, laparoscopic adjustable gastric bands (LAGBs) have been used extensively in bariatric surgery. Despite questionable long-term efficacy, they are generally safe and reversible. We report a possibly unique presentation of a potential hazard of the insertion technique; a misplaced LAGB encircling the abdominal aorta, which was confirmed radiologically and on operative removal of the gastric band. This is a dramatic complication of LAGB, representing an important anatomical hazard for gastric band insertion.

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Laparoscopic Adjustable Gastric Band: Do Support Groups Add to the Weight Loss?

Obesity Surgery ◽

10.1381/0960892041975550 ◽

2004 ◽

Vol 14 (8) ◽

pp. 1139-1140 ◽

Cited By ~ 11

Author(s):

Ehab Elakkary ◽

M.M. Gazayerli

Keyword(s):

Weight Loss ◽

Support Groups ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band

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Clinical characteristics vary between women and men in 67,524 patients with moderate obesity preoperative for laparoscopic adjustable gastric band (LAGB)

Advances in Obesity Weight Management & Control ◽

10.15406/aowmc.2020.10.00316 ◽

2020 ◽

Vol 10 (4) ◽

pp. 111-115

Author(s):

Christopher Bashian ◽

Jandie Schwartz ◽

Luke Perry ◽

Gus J Slotman

Keyword(s):

Mental Health ◽

Clinical Characteristics ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Abdominal Hernia ◽

Clinical Knowledge ◽

Long Term Outcomes ◽

Clinical Conditions

Background: As of 2018, LAGB represents <2% of weight loss operations, but with excellent long-term outcomes in selected patients. Thus, every clinical insight can help in selecting LAGB patients and planning surgery. While more women than men undergo bariatric surgery, differences between the sexes in obesity-related clinical conditions pre-operatively among patients seeking LAGB have not been investigated. The objective of this study was to identify variations in obesity-related co-morbidities among women and men who chose laparoscopic adjustable gastric band (LAGB). Methods: Pre-operative data on 53,292 women and 14,222 men undergoing LAGB were examined retrospectively from the Surgical Review Corporation’s Bariatric Outcomes Longitudinal Database (BOLD). Results: Women were more frequently African American and on Medicaid while men were more frequently Caucasian insured with Medicare. Men were older, heavier, and used alcohol, tobacco, and illicit substances more frequently. Men had higher rates of cardiovascular and pulmonary disease, diabetes, gout, impaired functional status, abdominal hernia, and liver disease. Women had higher rates of asthma, cholelithiasis, urinary incontinence, panniculitis, and mental health. Conclusion: Pre-operative characteristics of LAGB patients vary by sex. This clinical knowledge may aid physicians and surgeons in facilitating anticipatory management of patients with moderate obesity

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Associations between low body mass index and mortality in patients with sepsis: A retrospective analysis of a cohort study in Japan

PLoS ONE ◽

10.1371/journal.pone.0252955 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0252955

Author(s):

Tetsuya Sato ◽

Daisuke Kudo ◽

Shigeki Kushimoto ◽

Masatsugu Hasegawa ◽

Fumihito Ito ◽

...

Keyword(s):

Older Adults ◽

Body Mass Index ◽

Body Mass ◽

East Asian ◽

High Body Mass Index ◽

Body Mass Index Group ◽

Asian Countries ◽

High Body ◽

Index Group ◽

Low Body Mass Index

Background The distribution of body mass in populations of Western countries differs from that of populations of East Asian countries. In East Asian countries, fewer people have a high body mass index than those in Western countries. In Japan, the country with the highest number of older adults worldwide, many people have a low body mass index. Therefore, this study aimed to determine the association between a low body mass index and mortality in patients with sepsis in Japan. Methods We conducted this retrospective analysis of 548 patients with severe sepsis from a multicenter prospective observational study. Multivariate logistic regression analyses determined the association between body mass index and 28-day mortality adjusted for age, sex, pre-existing conditions, the occurrence of septic shock, Acute Physiology and Chronic Health Evaluation II scores, and Sequential Organ Failure Assessment scores. Furthermore, the association between a low body mass index and 28-day mortality was analyzed. Results The low body mass index group represented 18.8% of the study population (103/548); the normal body mass index group, 57.3% (314/548); and the high body mass index group, 23.9% (131/548), with the 28-day mortality rates being 21.4% (22/103), 11.2% (35/314), and 14.5% (19/131), respectively. In the low body mass index group, the crude and adjusted odds ratios (95% confidence intervals) for 28-day mortality relative to the non-low body mass index (normal and high body mass index groups combined) group were 2.0 (1.1–3.4) and 2.3 (1.2–4.2), respectively. Conclusion A low body mass index was found to be associated with a higher 28-day mortality than the non-low body mass index in patients with sepsis in Japan. Given that older adults often have a low body mass index, these patients should be monitored closely to reduce the occurrence of negative outcomes.

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