Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period

Effectiveness of bariatric procedures based on selected laboratory parameters of patients from rural areas in Polish population

“…Combination techniques, such as Roux-en-Y gastric bypass (RYGB) and biliary pancreatic diversion with duodenal switch surgery (BPD/DS), reduce both the amount of food and the number of calories absorbed as a result of GI tract modification. 8,9 Although the efficacy of bariatric procedures for obesity and concomitant disease control is supported by a number of studies, assessment of the role of these surgical techniques is insufficient. The prevalence and consequences of obesity in rural areas have been assessed in only a few studies worldwide.…”

Rare complication of a common obesity procedure

“…In a 10-year follow-up study, Lanthaler et al 10 reported 68.8% long-term complications. Himpens et al 11 reported 61.0% complications after 12 years of follow-up, and a more recent study reported 86.2% complications with 13 years of follow-up 5. Aspiration pneumonia was not reported in any of these studies.…”

“…Bariatric surgery has been gaining acceptance as an effective long-term treatment for morbid obesity. A meta-analysis by Buchwald et al 6 reported resolution or improvement of diabetes, hyperlipidaemia, hypertension and obstructive sleep apnoea in more than 50% of patients after surgery 5. In obese patients, CT scan is considered the gold standard diagnostic test 7…”

Update on bariatric surgical procedures and an introduction to the implantable weight loss device: the Maestro Rechargeable System

“…In the procedure, a silastic-based band with a balloon along its circumference is placed on the stomach close to the gastroesophageal junction with the idea of forming a new, smaller gastric pouch to restrict meal size (Figure 5). However, surgeons in the US have moved away from gastric band placement due to widespread patient intolerance, less effective or slower weight loss, and a high rate of complications over long term 29. Recent large cohort studies with long-term follow-up have shown that initial good results with the gastric band are short lived: mean %EWL at 5 years range between 49% and 66.1% but drop to 41%–51.6% and lower after 9–10 years and 21% after 15 years 29,30.…”

“…However, surgeons in the US have moved away from gastric band placement due to widespread patient intolerance, less effective or slower weight loss, and a high rate of complications over long term 29. Recent large cohort studies with long-term follow-up have shown that initial good results with the gastric band are short lived: mean %EWL at 5 years range between 49% and 66.1% but drop to 41%–51.6% and lower after 9–10 years and 21% after 15 years 29,30. Of the gastric band patients, 67%–78.5% of patients underwent a reoperation, most commonly for weight regain, port malfunction, and band slippage or erosion 29,30.…”