Obesity Surgery

, Volume 20, Issue 8, pp 1078–1085 | Cite as

Long-Term Results and Complications Following Adjustable Gastric Banding

  • Monika Lanthaler
  • Franz Aigner
  • Johann Kinzl
  • Michael Sieb
  • Ferguel Cakar-Beck
  • Hermann Nehoda
Clinical Research
First Online:

Abstract

This study was performed to assess our long-term results with laparoscopic gastric banding in patients with an observation period of at least 9 years calculated from the date of operation. Between January 1996 and December 2000, a total of 276 patients (83% female) underwent laparoscopic gastric banding at our institution. Mean preoperative body mass index (BMI) was 44 ± 6 kg/m2. BMI after 1, 5, 7, 9, and 10 years was 33 ± 6, 30 ± 6, 31 ± 6, 32 ± 7, and 31 ± 7 kg/m2, respectively. Mean excess weight loss after 1 year was 57.1 ± 23.0% and after 5, 7, 9, and 10 years 73.2 ± 29.6%, 65.9 ± 29.3%, 61.8 ± 32.8%, and 64.0 ± 32.1%, respectively. Median completeness of follow-up was 80%. Of the study population, 146 (52.9%) patients had at least one complication requiring reoperation. Presently, only 148 (53.6%) patients still have their original band, 49 (17.8%) had their original band replaced with a new one, and 79 (28.6%) had their band removed. Thirty-three patients had no second bariatric operation, a Roux-en-Y gastric bypass was done in 39 patients, and six patients underwent sleeve gastrectomy. Our long-term results are good with regard to weight loss in those patients who still have their band in situ. This is accompanied by a high complication rate and a 29% band loss rate.

Keywords

Laparoscopic gastric banding Long-term results Weight loss Complications Band status today 
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Notes

Conflict of Interest

The authors declare no conflicts of interest.

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Copyright information

© Springer Science + Business Media, LLC 2010

Authors and Affiliations

  • Monika Lanthaler
    • 1
    • 4
  • Franz Aigner
    • 1
  • Johann Kinzl
    • 2
  • Michael Sieb
    • 1
  • Ferguel Cakar-Beck
    • 1
  • Hermann Nehoda
    • 3
  1. 1.Department of Visceral, Transplantation and Thoracic SurgeryCentre for Operative MedicineInnsbruckAustria
  2. 2.Department of Psychiatry and PsychotherapyInnsbruck Medical University HospitalInnsbruckAustria
  3. 3.St. Johann County HospitalSt. JohannAustria
  4. 4.Department of General and Transplant SurgeryInnsbruck Medical University HospitalInnsbruckAustria

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