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Impact of laparoscopic adjustable gastric banding on type 2 diabetes.

Publication ,  Journal Article
Dixon, JB; Murphy, DK; Segel, JE; Finkelstein, EA
Published in: Obes Rev
January 2012

Bariatric surgery is becoming an accepted option for obese people with type 2 diabetes. Our aim was to assess the impact of laparoscopic adjustable gastric banding (LAGB) through a systematic review of the literature. Data was sourced from Scopus, MEDLINE and EMBASE published from 2000 through May 2011, and five unpublished studies that were performed by industry for regulatory approval were also included. Studies were selected on the basis that they provide some detail of diabetes status before and after LAGB. There were 35 studies meeting the inclusion criteria. There was considerable heterogeneity in study design, sample size, length of follow-up, attrition rates and classification of diabetes status. Weight loss was progressive over the first 2 years with a weighted average of 47% excess weight loss at 2 years. Remission or improvement in diabetes varied from 53% to 70% over different time periods. Results were broadly consistent, demonstrating clinically relevant improvements in diabetes outcomes with sustained weight loss in obese people with type 2 diabetes following LAGB surgery. However, there were significant shortcomings in the reviewed literature with few high-quality studies, inconsistent reporting of diabetes outcomes and high attrition rates. Long-term studies that address these limitations are needed.

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Published In

Obes Rev

DOI

EISSN

1467-789X

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

57 / 67

Location

England

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Obesity, Morbid
  • Humans
  • Gastroplasty
  • Endocrinology & Metabolism
  • Diabetes Mellitus, Type 2
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
 

Citation

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Dixon, J. B., Murphy, D. K., Segel, J. E., & Finkelstein, E. A. (2012). Impact of laparoscopic adjustable gastric banding on type 2 diabetes. Obes Rev, 13(1), 57–67. https://doi.org/10.1111/j.1467-789X.2011.00928.x
Dixon, J. B., D. K. Murphy, J. E. Segel, and E. A. Finkelstein. “Impact of laparoscopic adjustable gastric banding on type 2 diabetes.Obes Rev 13, no. 1 (January 2012): 57–67. https://doi.org/10.1111/j.1467-789X.2011.00928.x.
Dixon JB, Murphy DK, Segel JE, Finkelstein EA. Impact of laparoscopic adjustable gastric banding on type 2 diabetes. Obes Rev. 2012 Jan;13(1):57–67.
Dixon, J. B., et al. “Impact of laparoscopic adjustable gastric banding on type 2 diabetes.Obes Rev, vol. 13, no. 1, Jan. 2012, pp. 57–67. Pubmed, doi:10.1111/j.1467-789X.2011.00928.x.
Dixon JB, Murphy DK, Segel JE, Finkelstein EA. Impact of laparoscopic adjustable gastric banding on type 2 diabetes. Obes Rev. 2012 Jan;13(1):57–67.
Journal cover image

Published In

Obes Rev

DOI

EISSN

1467-789X

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

57 / 67

Location

England

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Obesity, Morbid
  • Humans
  • Gastroplasty
  • Endocrinology & Metabolism
  • Diabetes Mellitus, Type 2
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences