Research

Energy balance

Laparoscopic adjustable gastric banding (LAGB) induces significant, durable weight loss and metabolic improvements in grade 3 obesity, with effects proportional to the magnitude of weight loss.

For individuals with severe obesity (BMI > 40), LAGB offers a sustainable path to weight loss that dietary changes alone struggle to maintain long-term. The procedure involves placing a band around the stomach to restrict food intake, followed by dietary adjustments and exercise. Success depends on adherence to post-op dietary guidelines and regular follow-up for band adjustments.

ModerateSupportsMEDIUM confidence
LAGB induced a significant and persistent weight loss and decrease of blood pressure... Clinical and metabolic improvements were proportional to the amount of weight loss.
Antonio E. Pontiroli et al. · The Journal of Clinical Endocrinology & Metabolism · 2002

Why this rating

Observational study with a non-randomized control group (diet-treated), introducing potential selection bias.

Source

Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid (Grade 3) Obesity and its Metabolic Complications: A Three-Year Study

Antonio E. Pontiroli et al. · The Journal of Clinical Endocrinology & Metabolism · 2002

DOI 10.1210/jcem.87.8.8708

cohort · n=263Cited 168×
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DOI resolved against Crossref · corpus check 2026-06-10

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