Fourteen-Year Long-Term Results after Gastric Banding

Abstract

Background. Gastric banding (GB) is a common bariatric procedure that is performed worldwide. Weight loss can be substantial after this procedure, but it is not sufficient in a significant portion of patients. Long-term rates for associated complications increase with every year of follow up, and only a few long-term studies have been published that examine these rates. We present our results after 14 years of postoperative follow up. Methods. Two hundred patients were operated upon form 01.02.1995 to 31.01.2009. Data collection was performed prospectively. In retrospective analysis, we analyzed weight loss, short- and long-term complications, amelioration of comorbidities and long-term outcome. Results. The mean postoperative follow up time was 94.4 months (range 2–144). The follow up rate was 83.5%. The incidence of postoperative complications for slippage was 2.5%, for pouch dilatation was 9.5%, for band migration was 5.5% and 12.0% for overall band removal. After 14 years, the reoperation rate was 30.5% with a reoperation rate of 2.2% for every year of follow up. Excess weight loss was 40.2% after 1 year, 46.3% after 2 years, 45.9% after 3 years, 41.9% after five years, 33.3% after 8 years, 30.8% after 10 years, 33.3% after 12 years and 15.6% after 14 years of follow up. Conclusion. The complication and reoperation rate after GB is high. Nevertheless, GB is still a therapeutic option in morbid obese patients, but the criteria for patient selection should be carefully evaluated.

Small-diameter Bands Lead to High Complication Rates in Patients After Laparoscopic Adjustable Gastric Banding

“…This is in line with previously published data which reported on band migration in up to 7% of patients [7,20,21,23]. Possible reasons for band migration are overfilling, which lead to pressureinduced erosion, the type of band (low-volume highpressure) and chronic infections [4,11,20].…”

“…Additionally, we have found a gradual progression of weight loss within the first 2 years after gastric banding which stabilized thereafter. Our results of weight loss are in line with previously published data [10,15,21], although Percentages of all patients who answered the questionnaire (n=128) are enclosed in parentheses some report even higher excess weight loss (up to 70%) after 2 years [2,23]. Weight regain was observed in all patients after band removal.…”

“…In long-term studies, the frequency of slippage and pouch dilatation varied between 4% and 34% [7,10,15,21]. The higher frequency of slipping and pouch dilatation in our study might be due to the type of band which we had used (high-pressure low-volume system) [11].…”

Take your pick - weight loss or clothes size goal: A longitudinal exploration of outcomes in individuals following laparoscopic adjustable gastric banding

“…Nevertheless, the significant and sustained weight loss in the sample supports the use of LAGB for individuals who require surgical intervention to complement behavioural modifications. Furthermore, comparing the sustained %EBWL in this sample to other longitudinal studies suggests this trend is likely to be long-lasting [54].…”

Perioperative Care of Tourist-Patients

“…These options must be explained to the patients before or at their arrival, founded in a selective and meticulous analysis of the patient physical condition, kind of surgery, as well as of the surgical time. Obesity surgery has been modified in the past 5 years when placement of a gastric band was the most common procedure, and its results have favored the growth of procedures such as the gastric sleeve and gastroyeyunal bypass, both laparoscopic procedures [23,24]. In plastic surgery the most common procedures are liposuction with or without fat transfer of the sucked fat tissue, breast implants, facial rejuvenation surgery and body contour procedures for people who have lost weight [24][25][26].…”