Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial

Long-term outcomes after Roux-en-Y gastric bypass: 10- to 13-year data

“…A very recent analysis reported that LRYGB led to continued weight loss and comorbidity remission over a 10-year period [11]. Higa also published a study on 10-year weight loss, co-morbidity, and nutritional outcomes and found similar results in that LRYGB provided sustainable weight loss and resolution of co-morbidities, while detailing the nutritional deficiencies that can occur in the postoperative period [12].…”

Recent advancements in bariatric/metabolic surgery

“…Following the introduction of the laparoscopic era, laparoscopic R‐Y gastric bypass (LRYGB) has accelerated the development of both bariatric and metabolic surgery 44. Long‐term (>10 years) weight loss after RYGB was reported to be around 25‐30% total weight loss and 55‐70% excess weight loss ( EWL) 33, 34, 35, 36, 37, 38. Up to 20% of RYGB patients may require revision surgery for various complications or weight regain.…”

Erosion of Gastric Band Tubing Presenting as Port-Site Cellulitis

“…6 Other series have reported that 40 -50% of band recipients undergo additional surgery over the 10-year follow-up period. 1,5 Aarts et al 12 published a study of 201 patients who underwent LAGB, of which 53% had the band removed or converted to another bariatric surgery approach because of insufficient weight loss or complications. In addition, in this series, less than 25% of patients still had the band in place 14 years after the original placement.…”

“…Various studies reviewing long-term outcomes found that the Rouxen-y gastric bypass and sleeve gastrectomy are superior to the LAGB in durable weight loss and improvement of obesity-related comorbidities. [1][2][3][4] In addition to suboptimal results, long-term follow-up has shown that the LAGB is associated with device-related complications, including band slippage, erosion, dilation of the gastric pouch or esophagus, band and port leaks, and infection. Studies reveal a 12-48% complication rate, 5,6 with up to 50% of patients with the band requiring reoperation at 10 years.…”

“…Studies reveal a 12-48% complication rate, 5,6 with up to 50% of patients with the band requiring reoperation at 10 years. 1,5 Erosion is recognized as one of the most serious complications after LAGB. It is a relatively rare, yet well-reported complication, with an overall incidence rate of 1-3%.…”