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LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING. ILLUSIONS AND REALITY.

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    Laparoscopic adjustable gastric banding (LAGB) is not effective for patients with metabolic syndrome (MS). Alternative surgical treatments are recommended for MS patients, while LAGB may suit younger women without MS under specific conditions.

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    Area of Science:

    • Bariatric Surgery
    • Metabolic Syndrome Research
    • Surgical Outcomes Analysis

    Background:

    • Metabolic syndrome (MS) presents significant health challenges.
    • Laparoscopic adjustable gastric banding (LAGB) is a surgical option for obesity.
    • Evaluating LAGB efficacy in patients with and without MS is crucial.

    Purpose of the Study:

    • To assess the effectiveness of LAGB in patients with metabolic syndrome (MS).
    • To compare surgical outcomes between patients with MS and those without.
    • To determine optimal surgical strategies for obesity management in diverse patient groups.

    Main Methods:

    • Analysis of surgical results from 380 patients undergoing LAGB between 2004 and 2015.
    • Patients were stratified into two groups: those with MS and those without.
    • Group division was based on sex and age (≤40 years vs. >40 years).

    Main Results:

    • LAGB was found to be ineffective for patients diagnosed with metabolic syndrome (MS).
    • The procedure did not influence the pathogenetic mechanisms of MS components.
    • LAGB demonstrated potential efficacy in younger women without MS and a BMI < 43 kg/m², provided strict adherence to medical advice.

    Conclusions:

    • LAGB is not recommended for patients with metabolic syndrome (MS).
    • Long-term adherence to medical advice is critical to prevent complications and reoperations.
    • Alternative, more effective surgical treatments should be considered for MS patients.
    • LAGB may be a viable option for a select group of younger women without MS, contingent on strict lifestyle modifications.