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Is Gastric Banding Appropriate in Indigenous Or Remote-Dwelling Persons?

Treacy, P. John, Chatfield, Mark D. and Bessell, Justin (2016). Is Gastric Banding Appropriate in Indigenous Or Remote-Dwelling Persons?. Obesity Surgery,26(8):1728-1734.

Document type: Journal Article
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IRMA ID 81144320xPUB171
Title Is Gastric Banding Appropriate in Indigenous Or Remote-Dwelling Persons?
Author Treacy, P. John
Chatfield, Mark D.
Bessell, Justin
Journal Name Obesity Surgery
Publication Date 2016
Volume Number 26
Issue Number 8
ISSN 0960-8923   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84949799965
Start Page 1728
End Page 1734
Total Pages 7
Place of Publication United States
Publisher Springer New York LLC
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Gastric banding has been promoted as less suitable for indigenous persons or persons who live remotely as it requires in person follow-up for band adjustment and may have higher rates of reoperation. This study assessed being an indigenous Australian or living remotely (but not both) on outcomes following gastric banding.

Methods
Data was prospectively recorded on all 559 patients who underwent gastric banding by one surgeon at one private hospital in Darwin, between February 1998 and August 2014.

Results
Forty persons (7 %) were indigenous and 93 (17 %) were remotely living (only 7 were both). At the last assessment (follow-up 37 (SD 31) months), overall percentage of excess weight loss (EWL) was 53 % (30 %), the percentage of total weight loss (TWL) was 23 (13), and 389 (70 %) achieved >50 % EWL. Seventy-two percent (43/60) ceased all diabetic medications. Ninety-two (17 %) came to reoperation. There was little difference between the indigenous and non-indigenous metropolitan-living groups, or between the remote and metropolitan non-indigenous groups in %EWL, %TWL, the proportion who achieved more than 50 % EWL, the time to achieve the goal weight, or cessation of diabetes medication. Similarly, there was little difference in the time to band removal or replacement. No person was directly compromised at band removal/replacement by delay due to dwelling remotely.

Conclusions
In these select persons who underwent gastric banding in the private sector only, outcomes of weight loss and revisional surgery were acceptable and comparable between indigenous and non-indigenous metropolitan-dwelling persons as well as between remote and metropolitan-dwelling non-indigenous persons.
Keywords Bariatric surgery
Gastric banding
Indigenous population
Rural population
Outcome
Ethnicity
DOI http://dx.doi.org/10.1007/s11695-015-1993-z   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 26 Jul 2016, 12:42:26 CST