Metabolic changes one year after laparoscopic adjustable gastric banding operation in morbidly obese subjects

Zydrune Visockiene; Gintautas Brimas; Tomas Abaliksta; Laura Siauliene; Valentina Liakina; Kestutis Strupas

doi:10.5114/wiitm.2011.30828

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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Original paper

Metabolic changes one year after laparoscopic adjustable gastric banding operation in morbidly obese subjects

Zydrune Visockiene

,

Gintautas Brimas

,

Tomas Abaliksta

,

Laura Siauliene

,

Valentina Liakina

,

Kestutis Strupas

Videosurgery Miniinv 2013; 8 (1): 13-21

DOI: https://doi.org/10.5114/wiitm.2011.30828

Online publish date: 2012/09/29

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Introduction: Laparoscopic adjustable gastric banding (LAGB) is effective for weight reduction in severely obese patients. However, the data about its effect on metabolic syndrome (MS) are limited.

Aim: To assess weight loss and changes of metabolic parameters 1 year after LAGB in a prospective, nonrandomized single center cohort study in morbidly obese subjects.

Material and methods: Physical examination, body weight (BW) parameters and metabolic profile were assessed at baseline and 1 year after LAGB in morbidly obese subjects. The incidence of MS was evaluated according to National Cholesterol Education Program Adult Treatment Panel III criteria.

Results: One year after the operation data from 90 patients out of 103 were available. Mean excess weight (EW) loss of 33.1% was associated with a significant improvement in all metabolic parameters: decrease of hypertension by 15.8%, hypertriglyceridemia by 42.6%, and hyperglycemia by 46.3%; and increase in high density lipoprotein cholesterol by 48.3%. This resulted in the resolution of MS in 44.2% of subjects. The significant change in the distribution of MS components was observed with the highest frequency of 4 components before and 2 components after surgery. Patients with MS at baseline lost 29.9% of EW compared to 44.3% in those without MS (p = 0.009).

Conclusions: The LAGB resulted in effective reduction of BW parameters in morbidly obese subjects 1 year after the operation. Along with the weight loss, resolution of MS and a significant shift towards decrease in the number of MS components was observed. Patients with MS were more resistant to the weight loss.

keywords:

Metabolic changes one year after laparoscopic adjustable gastric banding operation in morbidly obese subjects

Zydrune Visockiene , Gintautas Brimas , Tomas Abaliksta , Laura Siauliene , Valentina Liakina , Kestutis Strupas

obesity, metabolic syndrome, bariatric surgery, laparoscopic adjustable gastric banding

Zydrune Visockiene

,

Gintautas Brimas

,

Tomas Abaliksta

,

Laura Siauliene

,

Valentina Liakina

,

Kestutis Strupas