Long-Term Results and Complications Following Adjustable Gastric Banding

Abstract

This study was performed to assess our long-term results with laparoscopic gastric banding in patients with an observation period of at least 9 years calculated from the date of operation. Between January 1996 and December 2000, a total of 276 patients (83% female) underwent laparoscopic gastric banding at our institution. Mean preoperative body mass index (BMI) was 44 +/- 6 kg/m(2). BMI after 1, 5, 7, 9, and 10 years was 33 +/- 6, 30 +/- 6, 31 +/- 6, 32 +/- 7, and 31 +/- 7 kg/m(2), respectively. Mean excess weight loss after 1 year was 57.1 +/- 23.0% and after 5, 7, 9, and 10 years 73.2 +/- 29.6%, 65.9 +/- 29.3%, 61.8 +/- 32.8%, and 64.0 +/- 32.1%, respectively. Median completeness of follow-up was 80%. Of the study population, 146 (52.9%) patients had at least one complication requiring reoperation. Presently, only 148 (53.6%) patients still have their original band, 49 (17.8%) had their original band replaced with a new one, and 79 (28.6%) had their band removed. Thirty-three patients had no second bariatric operation, a Roux-en-Y gastric bypass was done in 39 patients, and six patients underwent sleeve gastrectomy. Our long-term results are good with regard to weight loss in those patients who still have their band in situ. This is accompanied by a high complication rate and a 29% band loss rate.

Seguimento tardio em pacientes com banda gástrica

“…Concluded that the band is safe and effective treatment. However, due to complications as infection, migration, escape, slip, intolerance band and esophageal dilations, requiring reoperations and failure, leads to the conclusion that the band should be performed only in selected cases 9. Lanthaler et al 7 studied 276 patients, most women on nine years after operation. Reoperation was 52.9% due to some complication 8. Their results were satisfactory in the category of weight loss in patients who still kept the band.…”

Migration of an Adjustable Gastric Band Into Gastric Lumen: A Rare Complication of Bariatric Surgery: Case Report

“…16 Literatürde belirtildiği gibi intragastrik bant migrasyonu geneliikle 5 yıl içersinde ortaya çıkmakta ve LAGB uygulanan hastalarda bandın çıkarılması nedenlerinin %20,5'ini oluşturmakta-dır. 17 Bant migrasyonu tanısı konan hastada gastrik bandın çıkarılması ve revizyon cerrahisi için bir endikasyonu görülmektedir. 13,17,18 Geç poş dilatasyonu nedeniyle revizyon cerrahisi %18,9 oranında 4 yıl içerisinde, port enfeksiyonu %2,6 ile 3 yıl içersinde yapılmaktadır.…”

“…17 Bant migrasyonu tanısı konan hastada gastrik bandın çıkarılması ve revizyon cerrahisi için bir endikasyonu görülmektedir. 13,17,18 Geç poş dilatasyonu nedeniyle revizyon cerrahisi %18,9 oranında 4 yıl içerisinde, port enfeksiyonu %2,6 ile 3 yıl içersinde yapılmaktadır. Poşta meydana gelen dialtasyon ve enfeksiyon intragastrik basıncı artır-makta bunu sonucu migrasyona zemin hazırla-maktadır.…”

A Qualitative Longitudinal Exploration of the Lived Experience of Laparoscopic Adjustable Gastric Banding Surgery

“…Furthermore, the existing literature is primarily quantitative in nature, using validated measures to determine changes such as quality of life [24,25], eating behaviour [26,27], improvement in comorbidities [16,28], and long-term weight loss [10]. Complications following surgery such band slippage, oesophageal dilatation and pouch dilatation have also been explored [29,30]. Data indicates individuals experiencing nausea and vomiting following LAGB have significantly lower weight loss compared to individuals who do not have this complication [31].…”