title: Body contouring surgery decreases long-term weight regain following laparoscopic adjustable gastric banding: A matched retrospective cohort study.
abstract: BACKGROUND
  Laparoscopic adjustable gastric banding (LAGB) surgery is the safest yet least effective method for massive weight loss. Thirty to 50 percent of patients undergoing LAGB will regain part of their lost weight.
  
  
  OBJECTIVE
  To evaluate the effect of body contouring plastic surgery (BCPS) following LAGB on long-term body mass index (BMI) control.
  
  
  METHODS
  Department of Surgery A, Soroka University Medical Center, Beer-Sheva, Israel.
  
  
  METHODS
  A retrospective cohort study of patients aged 18-50 years, who underwent LAGB surgery between 1997 and 2007, was performed. Out of 2405 patients undergoing LAGB during those years, 861 were excluded and 1544 were recruited by phone. The final group included 72 patients matched for age and gender. Long-term weight regain was evaluated and compared between a group of patients who underwent subsequent body contouring plastic surgery (LBCPS) and a group of LAGB only (LAGBO). Groups were matched for age, gender, and pre-operative body mass index (BMI).
  
  
  RESULTS
  LBCPS (n = 18) had lower endpoint BMI and BMI regain percentage compared with LAGBO (n = 54) (24.64 ± 3.76 vs. 31.0 ± 7.2 kg/m2, p < 0.001; 13 ± 14% vs. 34± 31%. p < 0.001, respectively). BCPS had an independent strong protective effect for endpoint BMI regain over 25% and BMI ≥30 kg/m2(HR = 0.19, p = 0.025; HR = 0.13, p = 0.046, respectively).
  
  
  CONCLUSIONS
  When compared with patients who did not undergo BCPS following LAGB, patients who underwent BCPS following LAGB had improved long-term BMI control.
authors.affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel; Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: wiser125@gmail.com.
authors.forename: Itay
authors.initials: I
authors.lastname: Wiser
authors.affiliation: Department of Surgery A, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Eliezer
authors.initials: E
authors.lastname: Avinoah
authors.affiliation: Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Oren
authors.initials: O
authors.lastname: Ziv
authors.affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Parnass
authors.affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Roni
authors.initials: R
authors.lastname: Averbuch Sagie
authors.affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Lior
authors.initials: L
authors.lastname: Heller
authors.affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Tali
authors.initials: T
authors.lastname: Friedman
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D015391:Gastroplasty; D006801:Humans; D007557:Israel; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Bariatric surgery; Body contouring; Body mass index; Gastric banding; Massive weight loss; Plastic surgery