Obesity Surgery

, Volume 21, Issue 4, pp 448–456

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

Authors

  • Juliane Matlach
    • Department of General, Visceral and Vascular SurgeryOtto-von-Guericke University of Magdeburg
  • Daniela Adolf
    • Department of Biometrics and Medical InformaticsOtto-von-Guericke University of Magdeburg
  • Frank Benedix
    • Department of General, Visceral and Vascular SurgeryOtto-von-Guericke University of Magdeburg
    • Department of General, Visceral and Vascular SurgeryOtto-von-Guericke University of Magdeburg
Clinical Research

DOI: 10.1007/s11695-010-0294-9

Cite this article as:
Matlach, J., Adolf, D., Benedix, F. et al. OBES SURG (2011) 21: 448. doi:10.1007/s11695-010-0294-9

Abstract

Background

While weight loss is the primary goal of bariatric procedures, the impact of quality of life (QoL), comorbidity, and surgery-related complications continue to grow. We report on our results of patients up to 12 years of follow-up undergoing laparoscopic adjustable gastric banding (LAGB).

Methods

Preoperative data of 153 patients treated with LAGB were collected retrospectively. Questionnaires were sent to patients to analyze weight loss, complications, and comorbidities. QoL was assessed using the Bariatric Qualit-of-Life (BQL) questionnaire.

Results

Of the patients, 83.7% completed the questionnaire. Median follow-up was 8.7 years. Patients were divided into the following groups: Group A (band still in place), group B (band removed), and group C (revision surgery). A significant increase of excess BMI loss (EBL) was found in group A (p < 0.0001): EBL was 36.1%, 42.8%, 41.8%, and 37.1% after 1, 3, 5, and 8 years, respectively. Group B showed a significant weight regain after band removal (p = 0.007). One hundred ten reoperations were necessary in 67 patients (52.3%): slippage or pouch dilatation in 25.8%, band migration in 3.9%, band intolerance in 6.2%, and 62 revisions due to port complications. According to BQL, a higher EBL correlated with a significantly better assessment of QoL (p < 0.0001).

Conclusions

LAGB resulted in improvement of comorbidities and QoL in banded patients even though not all of them achieved the expected EBL. However, the high complication rate could influence patients’ outcome.

Keywords

ObesityGastric bandingBariatric surgeryQuality of lifeBQLEBLComplicationsLong-term follow-up

Copyright information

© Springer Science + Business Media, LLC 2010