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Adjustable gastric banding: a comparison of models.
Surg Obes Relat Dis. 2014 Nov-Dec; 10(6):1097-103.SO

Abstract

BACKGROUND

There are several models of adjustable gastric banding in use with little evidence for choosing a particular model. The objective of this study was to evaluate factors for selecting a particular type of band in terms of weight loss, complications, and co-morbidities.

METHODS

From July 2006 to May 2012, 222 patients underwent laparoscopic adjustable gastric banding (LAGB) by a single surgeon. Patient demographic characteristics, weight loss, body mass index (BMI), percentage of weight loss (%EWL), complications, and co-morbidities were retrospectively reviewed. Patients were grouped according to the band model into 6 categories: 27 LAP-BAND Adjustable Gastric Banding System VG, 25 Allergan-LAGB, 20 LAP-BAND AP(M) Standard, 18 LAP-BAND AP(M) Large, 34 Realize Band, and 98 Realize-C band.

RESULTS

At 60 months follow up, in the LAP-BAND VG Group, the mean %EWL was 41%, percentage of co-morbidity improvement was 66%, and percentage of complications was 14.3%; the same percentages in the Allergan-LAGB Group were 41%, 0%, and 52%, respectively; in the LAP-BAND AP Standard Group were 42%, 20%, and 40%, respectively; in the LAP-BAND AP Large group were 38% , 12.5%, and 27.8%, respectively (at 48 months); in the Realize Band Group were 37%, 60%, and 0%, respectively (at 48 months); and in the Realize-C Band Group were 48%,12.5%, and 12.2%, respectively (at 36 months).

CONCLUSIONS

In terms of weight loss and co-morbidities, no differences were found supporting the choice of one model over the others. Short-term and long-term band-related complications occurred without any clear predilection. The port-related complications were significantly lower in the Realize bands.

Authors+Show Affiliations

Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois. Electronic address: ayloosub@uic.edu.Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24342037

Citation

Ayloo, Subhashini M., et al. "Adjustable Gastric Banding: a Comparison of Models." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 6, 2014, pp. 1097-103.
Ayloo SM, Fernandes E, Masrur MA, et al. Adjustable gastric banding: a comparison of models. Surg Obes Relat Dis. 2014;10(6):1097-103.
Ayloo, S. M., Fernandes, E., Masrur, M. A., & Giulianotti, P. C. (2014). Adjustable gastric banding: a comparison of models. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(6), 1097-103. https://doi.org/10.1016/j.soard.2013.09.003
Ayloo SM, et al. Adjustable Gastric Banding: a Comparison of Models. Surg Obes Relat Dis. 2014;10(6):1097-103. PubMed PMID: 24342037.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adjustable gastric banding: a comparison of models. AU - Ayloo,Subhashini M, AU - Fernandes,Eduardo, AU - Masrur,Mario A, AU - Giulianotti,Pier C, Y1 - 2013/09/20/ PY - 2012/12/20/received PY - 2013/05/06/revised PY - 2013/05/06/accepted PY - 2013/12/18/entrez PY - 2013/12/18/pubmed PY - 2015/9/10/medline KW - Adjustable gastric banding KW - Bariatric surgery KW - Gastric bands models SP - 1097 EP - 103 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 6 N2 - BACKGROUND: There are several models of adjustable gastric banding in use with little evidence for choosing a particular model. The objective of this study was to evaluate factors for selecting a particular type of band in terms of weight loss, complications, and co-morbidities. METHODS: From July 2006 to May 2012, 222 patients underwent laparoscopic adjustable gastric banding (LAGB) by a single surgeon. Patient demographic characteristics, weight loss, body mass index (BMI), percentage of weight loss (%EWL), complications, and co-morbidities were retrospectively reviewed. Patients were grouped according to the band model into 6 categories: 27 LAP-BAND Adjustable Gastric Banding System VG, 25 Allergan-LAGB, 20 LAP-BAND AP(M) Standard, 18 LAP-BAND AP(M) Large, 34 Realize Band, and 98 Realize-C band. RESULTS: At 60 months follow up, in the LAP-BAND VG Group, the mean %EWL was 41%, percentage of co-morbidity improvement was 66%, and percentage of complications was 14.3%; the same percentages in the Allergan-LAGB Group were 41%, 0%, and 52%, respectively; in the LAP-BAND AP Standard Group were 42%, 20%, and 40%, respectively; in the LAP-BAND AP Large group were 38% , 12.5%, and 27.8%, respectively (at 48 months); in the Realize Band Group were 37%, 60%, and 0%, respectively (at 48 months); and in the Realize-C Band Group were 48%,12.5%, and 12.2%, respectively (at 36 months). CONCLUSIONS: In terms of weight loss and co-morbidities, no differences were found supporting the choice of one model over the others. Short-term and long-term band-related complications occurred without any clear predilection. The port-related complications were significantly lower in the Realize bands. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/24342037/Adjustable_gastric_banding:_a_comparison_of_models_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00298-0 DB - PRIME DP - Unbound Medicine ER -