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Washington State Survey FYI
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Notice the Conclusion at bottom. Something we harp on all the time! Something to show banders who have fallen off the Bandwagon maybe?
Since this is a voluntary survey, it's not really scientific, but it is indicative of what we see on this forum every day.
Patients' experience and outcomes after laparoscopic adjustable gastric
banding in Washington state.
Lin VW , Wright A, Flum DR, Garrison LP Jr, Alfonso-Cristancho R, Sullivan SD.
Abstract
BACKGROUND:There is very little evidence regarding the real world experience and outcomes
after laparoscopic adjustable gastric banding (LAGB). Our objective was to estimate the amount
of postoperative weight loss, change in co-morbidity status, and complications after LAGB. The
setting was LAGB surgical centers in Washington state.
METHODS:A cross-sectional survey was developed to collect primary data from patients who
had undergone LAGB in Washington state from 2004 to 2010. The survey contained questions on
patient characteristics, weight change, co-morbidities, and complications after LAGB surgery. We
used descriptive and other statistical tests to evaluate our key research questions by the period
since LAGB.
RESULTS:A total of 1556 surveys were sent out, and 790 were returned (response rate 50.8%).
Responders were categorized into 4 groups according to the follow-up period: <2, 2-3, 3-4, and
>4 years. The corresponding average body mass index reduction in each group was 21.0%,
22.5%, 21.3%, and 20.4%. Of the respondents, 21.7%, 34.8%, 44.6%, and 38.7% indicated they
did not have any adjustments in the year preceding the survey. The percentage of respondents
who had undergone additional operations related to LAGB was 8.6%. Specifically, 3.6% of the
respondents had undergone either band removal or conversion to another type of bariatric
operation.
CONCLUSION:We found that although LAGB appeared to be beneficial for weight reduction and
improving co-morbidities, the underuse of band adjustments and significant rate of treatment
failure might limit the long-term effectiveness of LAGB.
Copyright © 2013 American Society for Metabolic and Bariatric Surgery. Published by Elsevier
Inc. All rights reserved.