Authors: Samuel Sultan Manish Parikh Heekoung Youn Marina Kurian George Fielding Christine Ren
Publish Date: 2009/03/05
Volume: 23, Issue: 7, Pages: 1569-1573
Abstract
Many mildly to moderately obese individuals with a body mass index BMI lower than 35 kg/m2 have serious diseases related to their obesity Nonsurgical therapy is ineffective in the long term yet surgery has never been made widely available to this populationBetween 2002 and 2007 53 patients with a BMI lower than 35 kg/m2 underwent laparoscopic adjustable gastric banding at our institution Data on all these patients were collected prospectively and entered into an institutional review board–approved electronic registry The study parameters included preoperative age gender BMI presence of comorbidities percentage of excess weight loss EWL and resolution of comorbiditiesThe mean preoperative age of the patients was 469 years range 16–68 years and the mean preoperative BMI was 331 kg/m2 range 282–350 kg/m2 Of the 53 patients 49 92 had at least one obesityrelated comorbidity The mean BMI decreased to 281 ± 24 kg/m2 258 ± 29 kg/m2 and 258 ± 31 kg/m2 and mean EWL was 483 ± 176 699 ± 280 and 697 ± 317 at 05 1 and 2 years respectively Substantial improvement occurred for the following comorbidities evaluated hypertension depression diabetes asthma hypertriglyceridemia obstructive sleep apnea hypercholesterolemia and osteoarthritis There was one slip two cases of band obstruction from food two cases of esophagitis and two port leaks but no mortalityThe authors are very encouraged by this series of lowBMI patients who underwent laparoscopic adjustable gastric banding Their weight loss has been excellent and their complications have been acceptable Their comorbidities have partially or wholly resolved With further study it is reasonable to expect alteration of the weight guidelines for bariatric surgery to include patients with a BMI lower than 35 kg/m2
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