Graft Survival and Complications after Laparoscopic Gastric Banding for Morbid Obesity—Lessons Learned from a 12-Year Experience

Laparoscopic adjustable gastric banding (LAGB) has been considered by many as the treatment of choice for morbid obesity because of its simplicity and encouraging early results. The aim of this prospective study was to critically assess the effects, complications, and outcome after LAGB in the long-...

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Bibliographic Details
Published in:Obesity surgery 2010-09, Vol.20 (9), p.1206-1214
Main Authors: Naef, Markus, Mouton, Wolfgang G., Naef, Ursula, Kummer, Oliver, Muggli, Beat, Wagner, Hans E.
Format: Article
Language:English
Subjects:
Adult
Aged
Body Mass Index
Clinical Research
Female
Gastrointestinal surgery
Gastroplasty - adverse effects
Graft Survival
Humans
Laparoscopy - adverse effects
Long term
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - surgery
Prostheses and Implants
Reoperation
Surgery
Surgical outcomes
Weight Loss
Young Adult
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Summary:Laparoscopic adjustable gastric banding (LAGB) has been considered by many as the treatment of choice for morbid obesity because of its simplicity and encouraging early results. The aim of this prospective study was to critically assess the effects, complications, and outcome after LAGB in the long-term, based on a 12-year experience. Between June 1998 and June 2009, all patients with implantation of a LAGB have been enrolled in a prospective clinical trial. Results were recorded and classified, with special regard to long-term complications, re-operation rate, and graft survival. LAGB was performed in 167 patients (120 female, 47 male) with a mean age of 40.1 ± 5.2 years. Operative mortality was 0%, overall 1.2% (not band-related). Overall patient follow-up was 94.0%. Mean excess weight loss (EWL) after 1, 2, 5, 8, and 10 years was 31.1 ± 7.5% ( p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-010-0205-0