Skip to main content
SpringerLink
Log in

Long-Term (over 10 Years) Retrospective Follow-up of Laparoscopic Adjustable Gastric Banding

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

A Correction to this article was published on 01 December 2017

This article has been updated

Abstract

Background

Laparoscopic adjustable gastric banding (LAGB) placements have progressively decreased in recent years. This is related to poor long-term weight loss outcomes and necessity for revision or removal of these bands. Long-term outcome results following LAGB are limited. The aim of our study was to determine the long-term outcome after LAGB at our institution.

Objectives

The aim of our study was to determine the long-term outcome after LAGB at our institution.

Setting

The setting of this is Academic Center, Israel.

Methods

Patients who underwent LAGB between 1999 and 2004 were reviewed. Patient comorbidities and weight loss parameters were collected preoperatively and at defined postoperative periods. Improvement in weight loss was defined as percent excess weight lost, and improvement in comorbidities was defined based on standardized reporting definitions.

Results

In total, 74 (80%) patients who underwent LAGB met inclusion criteria. The mean age at LAGB placement was 50.5 ± 9.6 years, and the mean body mass index (BMI) was 45.5 ± 4.8 kg/m2. Preoperative comorbidities were diabetes mellitus (13.5%), hypertension (32%), hyperlipidemia (12.1%), obstructive sleep apnea (5.4%), joints disease (10.8%), mood disorders (5.4%), and gastro-esophageal reflux disease (GERD) symptoms (8.1%). The mean follow-up was 162.96 ± 13.9 months; 44 patients (59.4%) had their band removed, and 22 (30%) had another bariatric surgery. The follow-up BMI was 35.7 ± 6.9 (p < 0.001), and the % total weight loss was 21.0 ± 0.13. There was no improvement in any of the comorbidities. GERD symptoms worsened at long-term follow-up (p < 0.001). Undergoing another bariatric procedure was associated with a higher weight loss (OR 12.8; CI 95% 1.62–23.9; p = 0.02).

Conclusion

LAGB required removal in the majority of our patients and showed poor resolution of comorbidities with worsening of GERD-related symptoms. Patients who go on to have another bariatric procedure have more durable weight loss outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Change history

  • 01 December 2017

    In the original article the spelling of author Naama Kafri was incorrect.

References

  1. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  2. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes—3-year outcomes. N Engl J Med. 2014;370(21):2002–13.

    Article  PubMed  PubMed Central  Google Scholar 

  3. ASMBS web site; Estimate of bariatric surgery numbers, 2011–2015. https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers [database on the Internet]. 2016.

  4. Mognol P, Chosidow D, Marmuse JP. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg. 2005;15(1):76–81.

    Article  PubMed  Google Scholar 

  5. Smoot TM, Xu P, Hilsenrath P, et al. Gastric bypass surgery in the United States, 1998-2002. Am J Public Health. 2006;96(7):1187–9.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Poulose BK, Griffin MR, Zhu Y, et al. National analysis of adverse patient safety for events in bariatric surgery. Am Surg. 2005;71(5):406–13.

    PubMed  Google Scholar 

  7. Toolabi K, Golzarand M, Farid R. Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period. Am J Surg. 2016;212(1):62–8.

    Article  PubMed  Google Scholar 

  8. O'Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94.

    Article  PubMed  Google Scholar 

  9. Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16(7):829–35.

    Article  CAS  PubMed  Google Scholar 

  10. Arapis K, Tammaro P, Parenti LR, et al. Long-term results after laparoscopic adjustable gastric banding for morbid obesity: 18-year follow-up in a single university unit. Obes Surg. 2017;27(3):630–40.

    Article  CAS  PubMed  Google Scholar 

  11. Carandina S, Tabbara M, Galiay L, et al. Long-term outcomes of the laparoscopic adjustable gastric banding: weight loss and removal rate. A single center experience on 301 patients with a minimum follow-up of 10 years. Obes Surg. 2017;27(4):889–95.

    Article  PubMed  Google Scholar 

  12. Vinzens F, Kilchenmann A, Zumstein V, et al. Long-term outcome of laparoscopic adjustable gastric banding (LAGB): results of a Swiss single-center study of 405 patients with up to 18 years' follow-up. Surg Obes Relat Dis. 2017;

  13. Brethauer SA, Kim J, el Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11(3):489–506.

    Article  PubMed  Google Scholar 

  14. Belachew M, Zimmermann JM. Evolution of a paradigm for laparoscopic adjustable gastric banding. Am J Surg. 2002;184(6B):21S–5S.

    Article  PubMed  Google Scholar 

  15. Favretti F, Segato G, Ashton D, et al. Laparoscopic adjustable gastric banding in 1,791 consecutive obese patients: 12-year results. Obes Surg. 2007;17(2):168–75.

    Article  PubMed  Google Scholar 

  16. Aarts EO, Dogan K, Koehestanie P, et al. Long-term results after laparoscopic adjustable gastric banding: a mean fourteen year follow-up study. Surg Obes Relat Dis. 2014;10(4):633–40.

    Article  CAS  PubMed  Google Scholar 

  17. Himpens J, Cadiere GB, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802–7.

    Article  PubMed  Google Scholar 

  18. Kowalewski PK, Olszewski R, Kwiatkowski A, et al. Life with a gastric band. Long-term outcomes of laparoscopic adjustable gastric banding—a retrospective study. Obes Surg. 2016;

  19. Naik RD, Choksi YA, Vaezi MF. Impact of weight loss surgery on esophageal physiology. Gastroenterol Hepatol (N Y). 2015;11(12):801–9.

    Google Scholar 

  20. Singhal R, Bryant C, Kitchen M, et al. Band slippage and erosion after laparoscopic gastric banding: a meta-analysis. Surg Endosc. 2010;24(12):2980–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Surgery B, The Lady Davis, Carmel Medical Center, 7 Michal Street, 3436212, Haifa, Israel

    Dvir Froylich, Tamar Abramovich-Segal, Guy Pascal, Boaz Appel, Naama Kafry & David Hazzan

  2. Cleveland Clinic, Comprehensive Hernia Center, Digestive Disease and Surgery Institute, Cleveland, OH, USA

    Ivy Haskins

Authors
  1. Dvir Froylich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tamar Abramovich-Segal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Guy Pascal
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ivy Haskins
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Boaz Appel
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Naama Kafry
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. David Hazzan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dvir Froylich.

Ethics declarations

We declare that all the information that was collected in this study was in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

All authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study who were asked to respond to a telephone questionnaire.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Froylich, D., Abramovich-Segal, T., Pascal, G. et al. Long-Term (over 10 Years) Retrospective Follow-up of Laparoscopic Adjustable Gastric Banding. OBES SURG 28, 976–980 (2018). https://doi.org/10.1007/s11695-017-2952-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-017-2952-7

Keywords

Search

Navigation