Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 18 (5), 573-7

Ten Years Experience With Laparoscopic Adjustable Gastric Banding

Affiliations

Ten Years Experience With Laparoscopic Adjustable Gastric Banding

Jean Biagini et al. Obes Surg.

Abstract

Background: Gastric banding is a safe and efficient bariatric procedure. We report here the results of 591 consecutive gastric bandings in terms of excess weight loss with up to 10 years follow-up and the complications.

Methods: Between June 1996 and September 2006, 591 patients underwent laparoscopic adjustable gastric banding (LAGB) by the same surgeon (JB). Of these patients, 69.2% were women. Mean age was 33.6 years +/- 10.7 and mean BMI was 41.95 kg/m2 +/- 8.7. Patients were reviewed monthly for the first 6 months, every 2 months for the next 6 months, and yearly thereafter. Excess weight loss was calculated at 6 months and 1, 2, 4, 6, 8, and 10 years.

Results: Six hundred eleven bands were implanted in 591 patients. Fifty-one patients (8.6%) had band removal due to a complication. Mean follow-up was 35 +/- 2 months. Percentage of excess weight loss was 45.8% +/- 27.4 at 6 months, 66.7% +/- 30.3 at 1 year, 72.6% +/- 28.8 at 2 years, 75.9% +/- 27.4 at 4 years, 82.8% +/- 32.6 at 6 years, 82.3% +/- 25.1 at 8 years, and 82.7% +/- 4.2 at 10 years. Complications encountered were band failure (9.3%), slippage (5.3%), erosion (4.6%), infection (2.4%), high band position (1.9%), and others (2.8%). Complication rate was 23.3% overall but dropped to 2.5% when calculated on the second half of the patients.

Conclusion: LAGB is a safe and efficient bariatric procedure. With experience, the complication rate drops to a very low level. Close follow-up can further increase its efficacy.

Similar articles

See all similar articles

Cited by 30 articles

See all "Cited by" articles

References

    1. Obes Surg. 2004 Aug;14(7):986-90 - PubMed
    1. Ann Ital Chir. 2006 Sep-Oct;77(5):397-400 - PubMed
    1. Surg Endosc. 2007 Nov;21(11):1950-6 - PubMed
    1. Obes Surg. 2005 Aug;15(7):1045-9 - PubMed
    1. Obes Surg. 2004 Oct;14(9):1157-64 - PubMed

LinkOut - more resources

Feedback