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Quality of Life After Laparoscopic Gastric Banding

Review of Stomach Banding: Health Complications vs. QOL

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Quality of Life After Laparoscopic Gastric Banding Bariatric Weight Loss Surgery

In a prospective study of 188 patients with morbid obesity, the time-dependent changes in the quality of life of individual patients were analyzed following laparoscopic gastric banding (LGB). These 188 patients (148 females and 40 males; age 19 to 59 years; body mass index 33 to 72 kg/m(2)) underwent evaluation of the laparoscopic gastric banding according to a strict protocol that included psychological testing using standardized instruments, detailed medical evaluation, upper gastrointestinal function studies, and evaluation of quality of life using the Gastrointestinal Quality of Life Index (GIQLI). Following this evaluation, 73 patients underwent laparoscopic gastric banding and were followed up for 2 years focusing on weight loss, postoperative morbidity, weight-related comorbidity, and quality of life.

Results

The results demonstrate that laparoscopic gastric banding is well able to allow for a significant loss of excess weight and a significant improvement in patients' quality of life, both after a rather short period of time after surgery and at a continuous rate throughout the follow-up. The price for this success that was found in approximately 90% of patients is a complication rate of 38%; 85% of these patients, almost one third of all patients, must undergo some type of revision surgery. However, once the complications are resolved, these patients achieve the same level of weight loss and improvement in quality of life as patients with an uncomplicated postoperative course.

Source:
Freys SM, Tigges H, Heimbucher J, Fuchs KH, Fein M, Thiede A. Department of Surgery, University of Wurzburg, Josef-Schneider-Strasse 2, D-97080 Wurzburg, Germany. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL