Weight loss and postoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding

Luca Busetto, Gianni Segato, Maurizio De Luca, Francesco De Marchi, Mirto Foletto, Marinella Vianello, Marzia Valeri, Franco Favretti, Giuliano Enzi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The authors investigated the outcome of morbidly obese patients with binge eating disorder (BED) treated surgically with laparoscopic adjustable gastric banding. Methods: The 5-year outcomes of 130 patients with BED and 249 patients without BED are described. The diagnosis of BED was made preoperatively and all patients with BED were supported with psychological therapy. Results: Patients with and without BED had similar BMI levels before surgery. More patients with than without BED had depressive symptoms and associated minor disturbances of eating behavior (night eating and grazing). Percent excess weight loss (%EWL) in the first 5 years after surgery was similar in patients with and without BED. The percentage of BED patients showing %EWL >50% at the 5-year evaluation was 23.1, and 25.7% in non-BED patients. The percentage of patients showing weight regain in the last 4 years of follow-up was similar in binge eaters (20.8%) and in non-binge eaters (22.5%). The 5-year frequency of gastric pouch and esophageal dilatation was significantly higher in binge eaters than in non-binge eaters (25.4 vs 17.7 %, P

Original languageEnglish
Pages (from-to)195-201
Number of pages7
JournalObesity Surgery
Volume15
Issue number2
DOIs
Publication statusPublished - Feb 2005

Keywords

  • Bariatric surgery
  • Binge eating disorder
  • Gastric banding
  • Morbid obesity

ASJC Scopus subject areas

  • Surgery

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