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01-01-2016 | Obesity | Book chapter | Article

11. The Metabolic Effects of Laparoscopic Adjustable Gastric Banding

Authors: Marina Kurian, M.D., F.A.C.S., F.A.S.M.B.S., John Loy, M.B.B.S., F.R.C.S.Ed

Publisher: Springer New York

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Abstract

Obese adults are five times more likely to be diagnosed with diabetes than adults of a healthy weight. Type 2 diabetes is fast becoming the health burden of our time with billions of health care dollars worldwide being spent on the management of the complications of obesity related diabetes. Diabetes leads to a twofold excess risk for cardiovascular disease, and diabetic retinopathy is the leading cause of preventable sight loss among people of working age in Western Europe. The huge cost of treating diabetes has led to much focus on bariatric surgery as an effective treatment. There is good evidence from randomized controlled trials (RCTs) that surgery is superior to medical therapy in improving diabetes control and the metabolic syndrome.
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