Abstract
Abstract Obesity is a civilization disease that promotes the emergence and development of many diseases, such as type II diabetes, cardiovascular, and some cancers. It directly affects the length and quality of life. The purpose of this retrospective study was to show the short- and long-term results of weight loss after laparoscopic adjustable gastric banding (LAGB) as well as to assess the results of the procedure and the percentage of reoperations. Case series analysis included 228 subsequent patients who underwent LAGB due to obesity. In the postoperative period, there was a gradual reduction in body weight, especially in the first 24 months after surgery. After 3 years, no further weight reduction was observed, and sometimes, a slight increase in weight was observed 5 years after surgery; the trend in weight reduction over the entire time period was significant. A similar result was found for percentage of BMI loss (%BMIL) and percentage of excess body weight loss (%EWL), especially in the first 36 months after surgery. Our study confirmed the good early results and low effectiveness of laparoscopic adjustable gastric banding in the long-term treatment of pathological obesity. On the other hand, the simplicity and safety of the procedure, the minimal effects of malnutrition, the low number of early complications, and the total reversibility or conversion procedure for any other bariatric surgery are the strengths of laparoscopic adjustable gastric banding for a selected group of patients.
Highlights
Obesity is a civilization disease that promotes the emergence and development of many diseases, such as type II diabetes, cardiovascular and musculoskeletal disorders, and some cancers
Bariatric surgery is no longer limited by excessive body weight, and the metabolic effects of surgical procedures leading to the disappearance of obesity complications are important [2, 4]
According to the IFSO Global Registry Report [17] and American Society for Metabolic and Bariatric Surgery [19], the gastric banding is still declining among the performed bariatric procedures, and the number of laparoscopic adjustable gastric banding (LAGB) procedures in these registries ranges from 1.1 to 5%
Summary
Obesity is a civilization disease that promotes the emergence and development of many diseases, such as type II diabetes, cardiovascular and musculoskeletal disorders, and some cancers. It directly affects the length and quality of life. The percentage of populations of overweight and obesity in Poland has doubled in the last 40 years, as in other developed countries [1]. According to data from the World Health Organization (WHO) in 2016, 39.3% of adults in Poland are overweight, and 23.1% are obese. Due to the low effectiveness and lack of lasting effects of conservative treatment for extreme obesity, according to the results of current scientific studies, bariatric surgery is the only effective treatment method [2, 3]. It has been proven that bariatric surgery extends the life of
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