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Paul E Obrien - One of the best experts on this subject based on the ideXlab platform.
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patients perspectives on laparoscopic Adjustable Gastric Banding lagb aftercare attendance qualitative assessment
Obesity Surgery, 2014Co-Authors: Leah Brennan, Irena Moroshko, Narelle Warren, Wendy A Brown, Paul E ObrienAbstract:Background Despite recognition of the importance of laparoscopic Adjustable Gastric Banding (LAGB) aftercare for optimal surgical outcomes and the failure of some patients to attend regularly, factors influencing LAGB aftercare attrition have not been thoroughly examined in the literature.
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symmetrical pouch dilatation after laparoscopic Adjustable Gastric Banding incidence and management
Obesity Surgery, 2008Co-Authors: Wendy A Brown, Paul E Obrien, Paul R Burton, Margaret Louise Anderson, John Dixon, Anna Korin, Geoffrey S HebbardAbstract:Background Laparoscopic Adjustable Gastric Banding (LAGB) has commonly been complicated by the problem of band slippage or prolapse. Since popularization of the pars flaccida approach and improved anterior fixation, it is our impression that the problem of symmetrical dilatation of the proximal Gastric pouch has become more important.
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hunger control and regular physical activity facilitate weight loss after laparoscopic Adjustable Gastric Banding
Obesity Surgery, 2008Co-Authors: Susan Leigh Colles, John Dixon, Paul E ObrienAbstract:Background Bariatric surgery facilitates substantial and durable weight loss; however, outcomes vary. In addition to physiological and technical factors, weight loss efficacy is dependent on modification of behavior to maintain a long-term change in energy balance. This study aimed to assess the extent and nature of change in energy intake and physical activity and identify factors associated with percentage weight loss (%WL) 12 months after laparoscopic Adjustable Gastric Banding (LAGB).
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birth outcomes in obese women after laparoscopic Adjustable Gastric Banding
Obstetrics & Gynecology, 2005Co-Authors: John Dixon, Maureen Elizabeth Dixon, Paul E ObrienAbstract:OBJECTIVE:This prospective study sought to examine the outcomes of 79 consecutive first pregnancies (> 20 weeks of gestation) in women following laparoscopic Adjustable Gastric Banding (LAGB) for severe obesity.METHODS:The 79 women are from a cohort of 1,382 consecutive patients. The prospectively c
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laparoscopic Adjustable Gastric Banding in the treatment of morbid obesity
Archives of Surgery, 2003Co-Authors: Paul E Obrien, John DixonAbstract:The epidemic of obesity requires an intervention that is both effective and broadly acceptable. Conventional medical programs have been ineffective. Traditional surgical approaches, such as Gastric bypass and biliopancreatic diversion, are accepted by less than 1% of the severely obese each year. Laparoscopic Adjustable Gastric Banding (LAGB) has been in clinical use for 8 years and it is timely to look at the developments in technique and to look at the outcomes for safety, effectiveness, and acceptability. Data are based on our clinical experiences and research reports derived from 1145 patients treated to date by laparoscopic Adjustable Gastric Banding. We have also drawn on the published literature and on a systematic review of the literature about LAGB published by the Australian Safety and Efficacy Register of New Interventional Procedures–Surgical. Generally reports that have included more than 100 patients and 3 or more years of follow-up have been selected. Laparoscopic Adjustable Gastric Banding has proved to be a safe procedure, 7 to 10 times safer than Gastric bypass in terms of mortality, and associated with few perioperativecomplications.Lateeventshavebeenmorefrequentwithprolapseofthestomachthrough the band occurring in 15% of our initial patients and erosion of the band into the stomach in 3.2% of our initial patients. Both complications are treatable laparoscopically and have become less common with modifications of technique. Weight loss is gradual but progressive over the first 2 years and has stabilized at about 50% of excess weight lost for the next 4 years. There are major associated improvementsinthemultiplecomorbiditiesofobesityincludingtype2diabetesmellitus(DM),asthma, hypertension,dyslipidemia,asthma,gastroesophagealrefluxdisease,sleepdisorderedbreathing,comorbidities of pregnancy, and the quality of life (QOL). Laparoscopic Adjustable Gastric Banding has several attributes that potentially will enable it to overcome the community’s resistance to bariatric surgery. It has proved to be safe. It is highly effective in achieving good weight loss, major improvements in health, and improved QOL. Because of the laparoscopic placement, adjustablity, and the easy reversibility, LAGB can provide these benefits in a gentle and safe way.
John Dixon - One of the best experts on this subject based on the ideXlab platform.
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Risk of Gastric pouch enlargement with Adjustable Gastric Banding in premenopausal women: sex hormones may play a role.
Annals of surgery, 2013Co-Authors: John Dixon, Christopher S. CobournAbstract:Objective:To examine the influence of age and gender on the development of proximal Gastric pouch distension (PPD) after laparoscopic Adjustable Gastric Banding (LAGB) surgery.Background:PPD is the most common reason for revision with Adjustable Gastric Banding surgery. Maintaining the anatomical in
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symmetrical pouch dilatation after laparoscopic Adjustable Gastric Banding incidence and management
Obesity Surgery, 2008Co-Authors: Wendy A Brown, Paul E Obrien, Paul R Burton, Margaret Louise Anderson, John Dixon, Anna Korin, Geoffrey S HebbardAbstract:Background Laparoscopic Adjustable Gastric Banding (LAGB) has commonly been complicated by the problem of band slippage or prolapse. Since popularization of the pars flaccida approach and improved anterior fixation, it is our impression that the problem of symmetrical dilatation of the proximal Gastric pouch has become more important.
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hunger control and regular physical activity facilitate weight loss after laparoscopic Adjustable Gastric Banding
Obesity Surgery, 2008Co-Authors: Susan Leigh Colles, John Dixon, Paul E ObrienAbstract:Background Bariatric surgery facilitates substantial and durable weight loss; however, outcomes vary. In addition to physiological and technical factors, weight loss efficacy is dependent on modification of behavior to maintain a long-term change in energy balance. This study aimed to assess the extent and nature of change in energy intake and physical activity and identify factors associated with percentage weight loss (%WL) 12 months after laparoscopic Adjustable Gastric Banding (LAGB).
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birth outcomes in obese women after laparoscopic Adjustable Gastric Banding
Obstetrics & Gynecology, 2005Co-Authors: John Dixon, Maureen Elizabeth Dixon, Paul E ObrienAbstract:OBJECTIVE:This prospective study sought to examine the outcomes of 79 consecutive first pregnancies (> 20 weeks of gestation) in women following laparoscopic Adjustable Gastric Banding (LAGB) for severe obesity.METHODS:The 79 women are from a cohort of 1,382 consecutive patients. The prospectively c
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laparoscopic Adjustable Gastric Banding in the treatment of morbid obesity
Archives of Surgery, 2003Co-Authors: Paul E Obrien, John DixonAbstract:The epidemic of obesity requires an intervention that is both effective and broadly acceptable. Conventional medical programs have been ineffective. Traditional surgical approaches, such as Gastric bypass and biliopancreatic diversion, are accepted by less than 1% of the severely obese each year. Laparoscopic Adjustable Gastric Banding (LAGB) has been in clinical use for 8 years and it is timely to look at the developments in technique and to look at the outcomes for safety, effectiveness, and acceptability. Data are based on our clinical experiences and research reports derived from 1145 patients treated to date by laparoscopic Adjustable Gastric Banding. We have also drawn on the published literature and on a systematic review of the literature about LAGB published by the Australian Safety and Efficacy Register of New Interventional Procedures–Surgical. Generally reports that have included more than 100 patients and 3 or more years of follow-up have been selected. Laparoscopic Adjustable Gastric Banding has proved to be a safe procedure, 7 to 10 times safer than Gastric bypass in terms of mortality, and associated with few perioperativecomplications.Lateeventshavebeenmorefrequentwithprolapseofthestomachthrough the band occurring in 15% of our initial patients and erosion of the band into the stomach in 3.2% of our initial patients. Both complications are treatable laparoscopically and have become less common with modifications of technique. Weight loss is gradual but progressive over the first 2 years and has stabilized at about 50% of excess weight lost for the next 4 years. There are major associated improvementsinthemultiplecomorbiditiesofobesityincludingtype2diabetesmellitus(DM),asthma, hypertension,dyslipidemia,asthma,gastroesophagealrefluxdisease,sleepdisorderedbreathing,comorbidities of pregnancy, and the quality of life (QOL). Laparoscopic Adjustable Gastric Banding has several attributes that potentially will enable it to overcome the community’s resistance to bariatric surgery. It has proved to be safe. It is highly effective in achieving good weight loss, major improvements in health, and improved QOL. Because of the laparoscopic placement, adjustablity, and the easy reversibility, LAGB can provide these benefits in a gentle and safe way.
Reinhard Mittermair - One of the best experts on this subject based on the ideXlab platform.
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Long-term follow-up evaluation of revisional Gastric bypass after failed Adjustable Gastric Banding
Surgical Endoscopy, 2013Co-Authors: Alexander Perathoner, Matthias Zitt, Monika Lanthaler, Johann Pratschke, Matthias Biebl, Reinhard MittermairAbstract:Background Disappointing long-term results, frequent band failure, and high rates of band-related complications increasingly necessitate revisional surgery after Adjustable Gastric Banding. Laparoscopic conversion to Gastric bypass has been recommended as the procedure of choice. This single-center retrospective study aimed to evaluate the long-term results of revisional Gastric bypass after failed Adjustable Gastric Banding. Methods The study included 108 consecutive patients who underwent laparoscopic conversion of Gastric Banding to Gastric bypass from 2002 to 2012. Indications for surgery, operative data, weight development, morbidity, and mortality were analyzed. The median follow-up period was 3.4 years (maximum, 10 years). Results The most common indications for band removal were band migration, insufficient weight loss, and pouch dilation. The median interval between Gastric Banding and Gastric bypass was 6.6 years. In 52 % of the cases, band removal and Gastric bypass surgery were performed simultaneously as a single-stage laparoscopic procedure. The early postoperative morbidity rate was 10.2 %. The body mass index before Gastric Banding (43.3 kg/m^2) decreased significantly to 37.9 kg/m^2 before Gastric bypass and to 28.8 kg/m^2 5 years after Gastric bypass. Conclusions This is the first report on the long-term outcome after conversion of failed Adjustable Gastric Banding to Gastric bypass. Findings have shown revisional Gastric bypass to be a feasible bariatric procedure particularly for patients with insufficient weight loss that guarantees a constant and long-lasting weight loss.
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Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
Obesity Surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures. Methods Between January 1996 and January 2006, 785 consecutive patients (81% women, 19% men) underwent laparoscopic SAGB. All data (demographic and morphologic, operative, and annual follow-up data) were prospectively collected in a computerized data bank. The postoperative follow-up program was performed largely by residents while 30 different surgeons performed the operation. Results Follow up data were available for 733 patients (98.3%); 52 patients (6.6%) were lost to follow-up. The median follow-up was 3.0 years (range, 1–10 years). The median total weight loss was 26 kg after 1 year and 40.5 kg after 8 years with a median EWL of 65.5% after 8 years. The median BMI decreased from 42.9 to 28.3 kg/m^2. A total number of 688 complications occurred in 396 patients (50.4%). The most common complications were esophagitis (28.8%), pouch dilation (15.3%), esophageal dilation (12.5%), port problems (11%), band migration (6.5%), and band leakage (6.4%). Overall, 251 reoperations (32%) were performed. There was no mortality. Conclusions From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for Gastric Banding.
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results and complications after swedish Adjustable Gastric Banding 10 years experience
Obesity Surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.
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Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
Obesity surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.
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Results and Complications After Swedish Adjustable Gastric Banding in Older Patients
Obesity surgery, 2008Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine ObermullerAbstract:Background Swedish Adjustable Gastric Banding (SAGB) is an effective treatment for morbid obesity. The aim of this study was to assess the efficacy and safety of SAGB in older patients aged ≥50 years.
Franz Aigner - One of the best experts on this subject based on the ideXlab platform.
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Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
Obesity Surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures. Methods Between January 1996 and January 2006, 785 consecutive patients (81% women, 19% men) underwent laparoscopic SAGB. All data (demographic and morphologic, operative, and annual follow-up data) were prospectively collected in a computerized data bank. The postoperative follow-up program was performed largely by residents while 30 different surgeons performed the operation. Results Follow up data were available for 733 patients (98.3%); 52 patients (6.6%) were lost to follow-up. The median follow-up was 3.0 years (range, 1–10 years). The median total weight loss was 26 kg after 1 year and 40.5 kg after 8 years with a median EWL of 65.5% after 8 years. The median BMI decreased from 42.9 to 28.3 kg/m^2. A total number of 688 complications occurred in 396 patients (50.4%). The most common complications were esophagitis (28.8%), pouch dilation (15.3%), esophageal dilation (12.5%), port problems (11%), band migration (6.5%), and band leakage (6.4%). Overall, 251 reoperations (32%) were performed. There was no mortality. Conclusions From our 10-year experience, we can state that SAGB is an effective bariatric procedure for achieving weight loss. Because of the high complication and reoperation rate, it is necessary to select patients according to specific criteria for Gastric Banding.
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results and complications after swedish Adjustable Gastric Banding 10 years experience
Obesity Surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.
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Results and Complications after Swedish Adjustable Gastric Banding—10 Years Experience
Obesity surgery, 2009Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine Obermuller, Alexander Perathoner, Michael Sieb, Raimund MargreiterAbstract:Background Bariatric surgery is currently the only effective treatment for morbid obesity. The main advantage of laparoscopic Adjustable Gastric Banding is that this operation is minimally invasive to the stomach and Adjustable to the patient’s needs. Few long-term studies on Swedish Adjustable Gastric Banding (SAGB) have been published. We here report our 10-year experience with 785 SAGB procedures.
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Results and Complications After Swedish Adjustable Gastric Banding in Older Patients
Obesity surgery, 2008Co-Authors: Reinhard Mittermair, Franz Aigner, Sabine ObermullerAbstract:Background Swedish Adjustable Gastric Banding (SAGB) is an effective treatment for morbid obesity. The aim of this study was to assess the efficacy and safety of SAGB in older patients aged ≥50 years.
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Pregnancies after Adjustable Gastric Banding.
Obesity surgery, 2001Co-Authors: Helmut Weiss, Hermann Nehoda, Burkhard Labeck, Katherine Hourmont, Christian Marth, Franz AignerAbstract:Background: We evaluated outcome of pregnancies of morbidly obese women who are within the first 2 years after laparoscopic Adjustable Gastric Banding. Methods: 215 morbidly obese women of reproductive potential (age 18-45 years), who had agreed to remain on reliable contraceptives for 2 years after surgery, were retrospectively analyzed following bariatric surgery. Results: 7 unexpected pregnancies were observed. 5 pregnancies were full-term (3 vaginal and 2 cesarean deliveries). The birth weights ranged from 2110 g to 3860 g. 2 women had first trimester miscarriages. All Gastric bands were completely decompressed due to nausea and vomiting, resulting in further weight gain. 2 serious band complications were observed (1 intraGastric band migration and 1 balloon defect), which required re-operation. Conclusions: Pregnancy in morbidly obese women soon after Adjustable Gastric Banding may occur unexpectedly during a period of weight loss. Prophylactic fluid removal from the band eliminates the efficacy of the obesity treatment. Moreover, this cohort shows an increased incidence of spontaneous abortions and band-related complications.
Theodor Junginger - One of the best experts on this subject based on the ideXlab platform.
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Early results with a new telemetrically Adjustable Gastric Banding.
Obesity surgery, 2007Co-Authors: Rudolf A. Weiner, Michael Korenkov, Esther Matzig, Sylvia Weiner, Woiteck K. Karcz, Theodor JungingerAbstract:It has already been demonstrated that laparoscopic Adjustable Gastric Banding (LAGB) is a safe and effective alternative to other permanent bariatric surgery techniques. Although clinical complications have been managed through improvements in surgical techniques, port-related complications and adjustment process inefficiencies have persisted. To reduce and manage these issues, a new type of Gastric band has been developed which uses telemetric technology to eliminate the use of hydraulic ports and simplify the overall Gastric band adjustment procedure. From June 2005 to October 2005, 37 patients were implanted in two German academic centers with the Easyband® telemetrically Adjustable Gastric band (Endoart S.A., Lausanne, Switzerland), using standard Gastric Banding laparoscopic technique. Prospective data was collected and analyzed for a minimum of 6 months on all morbidly obese patients who underwent laparoscopic telemetrically Adjustable Gastric Banding. Data on 37 patients was analyzed.The mean percent excess weight loss was 10.2% at 1 month, 21.6% at 3 months, and 29.4% at 6 months. In 12 hypertensive patients, the systolic blood pressure decreased from 143 ± 24 mmHg at baseline to 131 ± 10 mmHg after 6 months. Diastolic pressure did not change significantly. In all 5 patients with diagnosed type 2 diabetes, the fasting blood glucose normalized after 6 months (135 mg/dl at baseline, 81 mg/dl at month 6). These early results of the new telemetrically Adjustable Gastric Banding device indicate clinical safety and efficacy comparable to that achieved by other commercially available Gastric bands. Additional multi-center studies with long-term followup are recommended to confirm the benefits of telemetrically Adjustable Gastric Banding.
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Early Results with a New Telemetrically Adjustable Gastric Banding
Obesity Surgery, 2007Co-Authors: Rudolf A. Weiner, Michael Korenkov, Esther Matzig, Sylvia Weiner, Woiteck K. Karcz, Theodor JungingerAbstract:Background It has already been demonstrated that laparoscopic Adjustable Gastric Banding (LAGB) is a safe and effective alternative to other permanent bariatric surgery techniques. Although clinical complications have been managed through improvements in surgical techniques, port-related complications and adjustment process inefficiencies have persisted. To reduce and manage these issues, a new type of Gastric band has been developed which uses telemetric technology to eliminate the use of hydraulic ports and simplify the overall Gastric band adjustment procedure. Methods From June 2005 to October 2005, 37 patients were implanted in two German academic centers with the Easyband® telemetrically Adjustable Gastric band (Endoart S.A., Lausanne, Switzerland), using standard Gastric Banding laparoscopic technique. Prospective data was collected and analyzed for a minimum of 6 months on all morbidly obese patients who underwent laparoscopic telemetrically Adjustable Gastric Banding. Results Data on 37 patients was analyzed.The mean percent excess weight loss was 10.2% at 1 month, 21.6% at 3 months, and 29.4% at 6 months. In 12 hypertensive patients, the systolic blood pressure decreased from 143 ± 24 mmHg at baseline to 131 ± 10 mmHg after 6 months. Diastolic pressure did not change significantly. In all 5 patients with diagnosed type 2 diabetes, the fasting blood glucose normalized after 6 months (135 mg/dl at baseline, 81 mg/dl at month 6). Conclusion These early results of the new telemetrically Adjustable Gastric Banding device indicate clinical safety and efficacy comparable to that achieved by other commercially available Gastric bands. Additional multi-center studies with long-term followup are recommended to confirm the benefits of telemetrically Adjustable Gastric Banding.
