Long-Term Follow-Up of Gastric Banding 10 Years and Beyond

Trujillo, Martha R.; Müller, Dominik; Widmer, Jeannette; Warschkow, René; Müller, Markus K.

doi:10.1007/s11695-015-1800-x

Cited by 19 publications

(11 citation statements)

References 18 publications

(20 reference statements)

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“…years%EWL at max. years% re-operationsMiller, 2007 [30]Band5549210154628Favretti, 2007 [31]Band17919111283819Naef, 2010 [32]Band1619410284920Himpens, 2011 [33]Band1545412364860Stroh, 2011 [34]Band2008412153326O’Brien, 2013a [4]Band32278115544743O’Brien, 2013b [12]Band407810316354Aarts, 2014 [35]Band2019914883867Angrisani, 2013 [13]Band278110224641Arapis, 2017 [36]Band89790153484256Victorzon, 2013 [37]Band608815164748Kowalewski, 2017 [38]Band1079011372754Caradina, 2017 [39]Band3017915113860Toolabi, 2015 [40]Band802313184778Trujillo, 2016 [41]Band10073123366…”

Section: Resultsmentioning

confidence: 99%

Long-Term Outcomes After Bariatric Surgery: a Systematic Review and Meta-analysis of Weight Loss at 10 or More Years for All Bariatric Procedures and a Single-Centre Review of 20-Year Outcomes After Adjustable Gastric Banding

et al. 2018

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IntroductionDurability is a key requirement for the broad acceptance of bariatric surgery. We report on durability at and beyond 10 years with a systematic review and meta-analysis of all reports providing data at 10 or more years and a single-centre study of laparoscopic adjustable gastric banding (LAGB) with 20 years of follow-up.MethodsSystematic review with meta-analysis was performed on all eligble reports containing 10 or more years of follow-up data on weight loss after bariatric surgery. In addition, a prospective cohort study of LAGB patients measuring weight loss and reoperation at up to 20 years is presented.ResultsSystematic review identified 57 datasets of which 33 were eligible for meta-analysis. Weighted means of the percentage of excess weight loss (%EWL) were calculated for all papers included in the systematic review. Eighteen reports of gastric bypass showed a weighted mean of 56.7%EWL, 17 reports of LAGB showed 45.9%EWL, 9 reports of biliopancreatic bypass +/− duodenal switch showed 74.1%EWL and 2 reports of sleeve gastrectomy showed 58.3%EWL. Meta-analyses of eligible studies demonstrated comparable results. Reoperations were common in all groups. At a single centre, 8378 LAGB patients were followed for up to 20 years with an overall follow-up rate of 54%. No surgical deaths occurred. Weight loss at 20 years (N = 35) was 30.1 kg, 48.9%EWL and 22.2% total weight loss (%TWL). Reoperation rate was initially high but reduced markedly with improved band and surgical and aftercare techniques.ConclusionAll current procedures are associated with substantial and durable weight loss. More long-term data are needed for one-anastomosis gastric bypass and sleeve gastrectomy. Reoperation is likely to remain common across all procedures.

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Section: Resultsmentioning

confidence: 99%

Long-Term Outcomes After Bariatric Surgery: a Systematic Review and Meta-analysis of Weight Loss at 10 or More Years for All Bariatric Procedures and a Single-Centre Review of 20-Year Outcomes After Adjustable Gastric Banding

et al. 2018

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“…Results regarding the long-term incidence of AGB explantation are contradictory. The majority have reported that about 50% of AGBs are explanted in the long-term (>10 years),45678910 whereas O'Brien, et al11 reported that only 5.6% of bands were explanted in a 10-year follow-up study of 714 patients and that the need for revision decreased as the technique evolved, with a 40% revision rate for proximal gastric enlargements during the first 10 years and a revision rate of only 6.4% during the last 5 years. In the present study, we investigated the incidences, types, and causes of AGB explantation over 10 years of clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Explantation of Adjustable Gastric Bands: An Observation Study of 10 Years of Experience at a Tertiary Center

Cho

Kim

2019

Yonsei Med J

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Purpose Although laparoscopic adjustable gastric bands are considered a standard treatment for severe obesity, their use remains controversial. We evaluated rates of band explantation and the incidences of complications leading to and following band explantation. Materials and Methods This retrospective review was performed on patients that underwent adjustable gastric band explantation. For each of the three groups of patients that underwent explantation, we compared demographic and anthropometric data, band duration in situ, operative approach, and morbidities. Results Between January 2009 and October 2018, a total of 267 patients underwent primary laparoscopic adjustable gastric band surgery. Of these 267 patients, 99 (37.1%) underwent band explantation. Numbers (%) of patients in the slippage (SL), band erosion (BE), and intolerance (IT) groups were 13 (13.1%), 39 (39.4), and 47 (47.5%), respectively. Mean %EBMIL values at explantation in these groups were 74.6±45.5, 79.7±40.3, and 36.1±46.0, respectively ( p <0.001), and mean times for maintaining bands in situ were 45.1±28.0, 39.4±24.3, and 51.2±22.7 months, respectively. Isolated band removal was performed for slippage (SLi, n=12), band erosion (BEi, n=39), and intolerance (ITi, n=31). The numbers (%) of patients in the SLi, BEi, and ITi groups that experienced a surgical complication (Clavien-Dindo class ≥1) were 0 (0.0%), 24 (61.5%), and 3 (9.7%), respectively ( p <0.001). In the BEi group, four patients (4/39, 10.3%) underwent reoperation after AGB removal. Conclusion During our 10 years of experience, 37.1% of adjustable gastric band had to be removed. Intra-abdominal abscess and intragastric bleeding were rare but serious complications after explantation. Potential candidates for adjustable gastric band should be informed of the high long-term risk of band explantation and its associated morbidities.

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“…Although band type and duration of follow-up differ between studies, fourteen out of seventeen series 11,14,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] identified by O'Brien et al 15 documented similar success. It also showed that close to 50% of type II diabetics were able to discontinue anti-diabetic medications.…”

Section: Discussionmentioning

confidence: 93%