ArticleObesity surgery2026
Predictors of Successful Long-Term Weight Loss Following Gastric Band Procedures.
Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLaparoscopic adjustable gastric banding (LAGB) was performed frequently from 2001 to 2012 in the U.S. Many patients still have bands in place, but evaluations of long-term outcomes are few. This study’s purpose was to identify predictors of 10-year optimal clinical response following LAGB procedures.
methodsDemographic, perioperative, and surgical outcomes data (2006–2013) from a single academic institution were analyzed. Electronic medical records were reviewed and patients were contacted using a standardized script for follow-up data. A logistic regression model identified predictors of optimal clinical response, ≥ 20% total weight loss (TWL), at 10 years.
results351 LAGB patients were included in the study: 80% female, 83% Caucasian, median age 45.2 (37.0–54.3) years, initial baseline weight 122.2 (111.5–138.2) kg, and initial BMI 43.6 (40.7–47.5) kg/m2. 307 patients had 10-year outcomes with 34% meeting criteria for optimal clinical response. Patients with ≥ 20% TWL had significantly more diabetes, longer operations, and were shorter than patients with < 20% TWL (all p < 0.03). Factors associated with a ≥ 20% TWL at ten years included higher baseline BMI and age ≥ 55 years. 36% of patients had their LAGB removed by 10 years.
conclusionsAnalysis of our LAGB patient population shows that older age and higher baseline BMI were predictors of long-term optimal clinical response. The associations of diabetes and hyperlipemia with ≥ 20% TWL after LAGB are novel findings.
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