Gastric bypass has better outcomes than gastric b and procedures for long-term weight loss , type 2 diabetes control and remission , hypertension , and hyperlipidemia .
Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections
IMPORTANCE Bariatric surgery is an accepted treatment for obesity .
Despite extensive literature , few studies report long-term follow-up in cohorts with adequate retention rates .
OBJECTIVE To assess the quality of evidence and treatment effectiveness 2 years after bariatric procedures for weight loss , type 2 diabetes , hypertension , and hyperlipidemia in severely obese adults .
Long-Term Results of a Prospective Study on Laparoscopic Adjustable Gastric Banding for Morbid Obesity
Background The objective of this study was to study the long-term outcome of adjustable gastric b and ing in the treatment of morbid obesity . In Europe , the preference for gastric b and has declined in favor of Roux-Y-gastric bypass . Methods This is a follow-up of a prospect i ve study on a large cohort of patients after laparoscopic gastric b and ing ( LAGB ) for morbid obesity . Results Complete data were collected on 656 patients ( 88 % ) from a cohort of 745 patients . After a median follow-up of 95 months ( range 60–155 ) , the mean BMI dropped from 41.0 ± 7.3 to 33.2 ± 7.1 kg/m2 , with a 46.2 ± 36.5 % excess weight loss ( EWL ) . A more than 50 % EWL was achieved in 44 % of patients . The b and was still in place in 77.1 % of patients ; conversion to gastric bypass after b and removal was carried out in 98 ( 14.9 % ) patients , while a simple removal was done in only 52 ( 7.9 % ) patients . B and removal was more likely in women and patients with a higher BMI . Conclusions After LAGB , b and removal was necessary for complications or insufficient weight loss in 24 % of patients . Nearly half of the patients achieved a more than 50 % EWL , but in 88 % , a more than 10 % EWL was observed . LAGB can achieve an acceptable weight loss in some patients , but the failure in one out of four patients does not allow proposing it as a first-line option for the treatment of obesity
Gastric bypass has better outcomes than gastric b and procedures for long-term weight loss , type 2 diabetes control and remission , hypertension , and hyperlipidemia .
Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections
IMPORTANCE Bariatric surgery is an accepted treatment for obesity .
Despite extensive literature , few studies report long-term follow-up in cohorts with adequate retention rates .
OBJECTIVE To assess the quality of evidence and treatment effectiveness 2 years after bariatric procedures for weight loss , type 2 diabetes , hypertension , and hyperlipidemia in severely obese adults .