Quality of life and alteration in comorbidity following laparoscopic adjustable gastric banding.
OBJECTIVE
Obesity is an increasing problem in the UK and bariatric surgery is likely to increase in volume in the future. While substantial weight loss is the primary outcome following bariatric surgery, the effect on obesity-related morbidity, mortality and quality of life (QOL) is equally important. This study reports on weight loss, QOL, and health outcomes following laparoscopic adjustable gastric banding (LAGB) in a low volume bariatric centre (<20 cases/year) and presents the first assessment of factors relating to the QOL which has been produced from a UK based surgical practice.


METHODS
Questionnaire based study of patients who had LAGB. Each patients' initial body mass index (BMI), QOL, and comorbidities were recorded. Change in these parameters was measured including excess weight loss, and output from both the Moorehead-Ardelt QOL questionnaire, and the Bariatric Analysis and Reporting Outcome System (BAROS).


RESULTS
Eighty-one patients (14 males, 67 females) answered the questionnaire. More than 50% excess weight loss was recorded in 52/81 patients (64%). Sixty-four patients (79%) reported improvement in their QOL including self-esteem, physical activity, social involvement, and ability to work. Seventy-one patients had initial obesity related comorbidity. In 61 of these patients (86%) their comorbidities resolved or improved. Minor port site related complications were recorded in nine patients while two patients had removal of the band because of infection.


CONCLUSIONS
LAGB is a safe method of bariatric surgery. It can achieve satisfactory weight loss with significant improvement in QOL and comorbidity.
Titi
M
M
Gartnavel General Hospital, Glasgow, UK.
Jenkins
J T
JT
Modak
P
P
Galloway
D J
DJ
D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000523:psychology*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss