![[ Visit Client Website ]](images/banner.gif)
Background: Massive weight loss through laparoscopic adjustable gastric banding (LAGB) bariatric surgery is the most safe yet least effective reported method. Thirty to 50% of patients undergoing LAGB will regain back part or most of their lost weight within 2-4 years. Recent evidence suggest that patients undergoing body contouring plastic surgery (BCPS) following bariatric Roux-en-Y technique demonstrated improved long-term weight control than those who did not. Our study objective is to evaluate the effect of BCPS following LAGB on long-term BMI control.
Methods: A retrospective cohort study matched for age, gender and initial Body mass index (BMI). Study was conducted on patients aged 18-50 years, who underwent LAGB surgery during 1997 and 2007, and compared Long-term BMI changes between patients who underwent subsequent plastic surgery (LBCPS) to LAGB alone (LAGBO). Cox hazard model was used to compare cumulative risk for long-term weight regain.
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, p<0.001; 12.7±13.6% vs. 34.3±30.9%. p<0.001, respectively). No differences were observed in time from LAGB to minimal weight, and total follow-up time between both groups (2.3±1.5 vs. 2.7±1.8 years, p=0.39; 7.3±2.9 vs. 8.0±2.7, p=0.32, respectively). BCPS had an independent protective effect for endpoint BMI regain over 25% and BMI≥30kg/m2 (HR=0.186 CI95% 0.042-0.812, p=0.025; HR=0.126, CI95% 0.016-0.963, p=0.046, respectively).
Conclusion: patients who underwent body contouring plastic surgery following LAGB had improved long-term BMI control, compared with those who did not.