Do Male Patients Benefit from Laparoscopic Adjustable Gastric Banding More Than Female Patients? A Retrospective Cohort Study

Overview

Journal Obes Surg

Date 2017 Sep 2

PMID 28861730

Citations 2

Authors

Maor Lewis

Uri Netz

Solly Mizrahi

Eliezer Avinoah

Doron Gal

Zvi H Perry

Affiliations

Soon will be listed here.

Abstract

Background: Clinical trials in the field of bariatrics, and specifically laparoscopic adjustable gastric banding (LAGB), have frequently been gender imbalanced, with males representing only 20% of examinees. Long-term gender-oriented results, and specifically quality of life (QOL) parameters, have not been addressed sufficiently. The aim of our study was to examine the long-term gender association with outcome of LAGB including the impact on QOL.

Methods: A retrospective cohort study of patients who underwent LAGB between 2006 and 2014 by a single surgeon was conducted. Data were collected from the hospital registry and a telephone interview that included a standardized questionnaire. Outcomes including BMI reduction, evolution of comorbidities, complications, reoperations, and QOL were compared according to the Bariatric Analysis and Reporting Outcome System (BAROS).

Results: Included were 114 males and 127 females, with a mean age of 38.2 years at surgery, and an average post-surgery follow-up of 6.5 years. Similar BMI reduction (p = 0.68) and perioperative complication rates (p = 0.99) were observed. Males had a greater improvement in comorbidities (p < 0.001), less band slippage (p = 0.006), underwent fewer reoperations (p = 0.02), and reported higher QOL scores (p = 0.02) than females. The total BAROS score was significantly higher for males than females (p < 0.001).

Conclusions: LAGB surgery results in better outcomes for male than female patients as measured by the BAROS, despite a similar BMI reduction. Gender-specific outcomes should be taken into consideration in optimizing patient selection and preoperative patient counseling.

Citing Articles

WEIGHT LOSS AND BEYOND, ASSESSMENT OF QUALITY OF LIFE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY USING BAROS IN PATIENTS WITH OBESITY IN TURKEY.

Kayali M, Arslan H, Yilmaz E, Eti S, Ozdenkaya Y, Omer A Acta Endocrinol (Buchar). 2024; 19(3):326-332.

PMID: 38356975 PMC: 10863971. DOI: 10.4183/aeb.2023.326.

Gender Comparisons of Surgical Outcomes in Patients Undergoing One Anastomosis Gastric Bypass (OAGB): a Historical Cohort Study.

Abu-Zeid E, Atias S, Netz U, Golani G, Avital I, Perry Z Obes Surg. 2023; 34(1):98-105.

PMID: 38010452 DOI: 10.1007/s11695-023-06954-z.

References

Stroh C, Weiner R, Wolff S, Knoll C, Manger T . Are There Gender-Specific Aspects in Obesity and Metabolic Surgery? Data Analysis from the German Bariatric Surgery Registry. Viszeralmedizin. 2015; 30(2):125-32. PMC: 4513798. DOI: 10.1159/000360148. View

Martikainen T, Pirinen E, Alhava E, Poikolainen E, Paakkonen M, Uusitupa M . Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004; 14(5):648-54. DOI: 10.1381/096089204323093435. View

Moorehead M, Ardelt-Gattinger E, Lechner H, Oria H . The validation of the Moorehead-Ardelt Quality of Life Questionnaire II. Obes Surg. 2003; 13(5):684-92. DOI: 10.1381/096089203322509237. View

Wingfield L, Kulendran M, Laws G, Chahal H, Scholtz S, Purkayastha S . Change in Sexual Dysfunction Following Bariatric Surgery. Obes Surg. 2015; 26(2):387-94. DOI: 10.1007/s11695-015-1937-7. View

Young M, Phelan M, Nguyen N . A Decade Analysis of Trends and Outcomes of Male vs Female Patients Who Underwent Bariatric Surgery. J Am Coll Surg. 2016; 222(3):226-31. DOI: 10.1016/j.jamcollsurg.2015.11.033. View

Stroh C, Weiner R, Wolff S, Knoll C, Manger T . Influences of gender on complication rate and outcome after Roux-en-Y gastric bypass: data analysis of more than 10,000 operations from the German Bariatric Surgery Registry. Obes Surg. 2014; 24(10):1625-33. DOI: 10.1007/s11695-014-1252-8. View

Bueter M, Thalheimer A, Lager C, Schowalter M, Illert B, Fein M . Who benefits from gastric banding?. Obes Surg. 2007; 17(12):1608-13. DOI: 10.1007/s11695-007-9263-3. View

Stroh C, Groh C, Weiner R, Ludwig K, Wolff S, Kabelitz M . Are there gender-specific aspects of gastric banding? Data analysis from the quality assurance study of the surgical treatment of obesity in Germany. Obes Surg. 2013; 23(11):1783-9. DOI: 10.1007/s11695-013-0964-5. View

Cunneen S, Phillips E, Fielding G, Banel D, Estok R, Fahrbach K . Studies of Swedish adjustable gastric band and Lap-Band: systematic review and meta-analysis. Surg Obes Relat Dis. 2008; 4(2):174-85. DOI: 10.1016/j.soard.2007.10.016. View

10.

Stroh C, Kockerling F, Weiner R, Horbach T, Ludwig K, Dressler M . Are there gender-specific aspects of sleeve gastrectomy-data analysis from the quality assurance study of surgical treatment of obesity in Germany. Obes Surg. 2012; 22(8):1214-9. DOI: 10.1007/s11695-012-0681-5. View

11.

Dixon J, OBrien P . Selecting the optimal patient for LAP-BAND placement. Am J Surg. 2003; 184(6B):17S-20S. DOI: 10.1016/s0002-9610(02)01174-1. View

12.

Khan S, Rock K, Baskara A, Qu W, Nazzal M, Ortiz J . Trends in bariatric surgery from 2008 to 2012. Am J Surg. 2016; 211(6):1041-6. DOI: 10.1016/j.amjsurg.2015.10.012. View

13.

OBrien P, MacDonald L, Anderson M, Brennan L, Brown W . Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2012; 257(1):87-94. DOI: 10.1097/SLA.0b013e31827b6c02. View

14.

Oria H, Moorehead M . Updated Bariatric Analysis and Reporting Outcome System (BAROS). Surg Obes Relat Dis. 2009; 5(1):60-6. DOI: 10.1016/j.soard.2008.10.004. View

15.

Busetto L, Segato G, De Marchi F, Foletto M, De Luca M, Caniato D . Outcome predictors in morbidly obese recipients of an adjustable gastric band. Obes Surg. 2002; 12(1):83-92. DOI: 10.1381/096089202321144649. View

16.

Lo Menzo E, Szomstein S, Rosenthal R . Update on Treatment of Morbid Obesity with Adjustable Gastric Banding. Surg Clin North Am. 2016; 96(4):795-813. DOI: 10.1016/j.suc.2016.03.010. View

17.

Skipworth J, Fanshawe A, Hewitt M, Raptis D, Efthimiou E, Smellie W . Laparoscopic Adjustable Gastric Band Slippage Rates Following Laparoscopic Gastric Band Insertion: a Single Centre Experience. Obes Surg. 2015; 26(7):1511-6. DOI: 10.1007/s11695-015-1962-6. View