Laparoscopic adjustable gastric banding (LAGB) is a commonly performed bariatric procedure worldwide. Some of the short-term outcomes from LAGB are well documented but little is known about the mid-to-long term outcomes following this procedure in the UK within the National Health Service (NHS) framework. This thesis will focus specifically on the outcomes of LAGB on an NHS population of patients. A review of the literature will summarise the current evidence supporting the use of bariatric surgery in the morbidly obese population. Following on from this introduction into the subject, a small case series is presented. The results of this pilot study suggest that LAGB can be considered as a valid treatment for idiopathic (benign) intracranial hypertension. Over the following two chapters the results from a prospective cohort study will explore in depth the outcomes of a cohort of morbidly obese, type 2 diabetic patients following LAGB. This will address both potential improvements in diabetes and the evolution of several obesity-related co-morbidities following surgically induced weight loss. Subsequent chapters will attempt to clarify some of the controversy associated with long-term complications following LAGB. An in-depth literature review will highlight variations in the definition and reporting of several of the well recognised complications associated with this procedure and suggest a reporting framework to aid clarity in future publications. This is followed by a prospective cohort study addressing those complications specifically associated with oesophageal function, and clinical outcomes following the implication of a simple management regimen when such complications arise. It is hoped that the detailed and transparent analysis of a large surgical cohort reported within this thesis will provide guidance for surgical teams within the NHS who perform this bariatric procedure.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:664980 |
| Date | January 2013 |
| Creators | Egan, Richard John |
| Publisher | University of Bristol |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
Page generated in 0.0018 seconds