Long-term outcomes of laparoscopic adjustable gastric banding

Jad Khoraki, Marilia G. Moraes, Adriana P.F. Neto, Luke M. Funk, Jacob A. Greenberg, Guilherme M. Campos

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background Laparoscopic adjustable gastric banding (LAGB) is an option for the treatment of severe obesity. Few US studies have reported long-term outcomes. We aimed to present long-term outcomes with LAGB. Methods Retrospective study of patients who underwent LAGB at an academic medical center in the US from 1/2005 to 2/2012. Outcomes included weight loss, complications, re-operations, and LAGB failure. Results 208 patients underwent LAGB. Mean BMI was 45.4 ± 6.4 kg/m2. Mean follow-up was 5.6 (0.5–10.7) years. Complete follow-up was available for 90% at one year (186/207), 80% at five years (136/171), and 71% at ten years (10/14). Percentage of excess weight loss at one, five, and ten years was 29.9, 30, and 16.9, respectively. Forty-eight patients (23.1%) required a reoperation. LAGB failure occurred in 118 (57%) and higher baseline BMI was the only independently associated factor (OR 1.1; 95%CI 1.0–1.1; p = 0.016). Conclusion LAGB was associated with poor short and long-term weight loss outcomes and a high failure rate. With the increased safety profile and greater efficacy of other surgical techniques, LAGB utilization should be discouraged.

Original languageEnglish (US)
Pages (from-to)97-103
Number of pages7
JournalAmerican Journal of Surgery
Volume215
Issue number1
DOIs
StatePublished - Jan 2018
Externally publishedYes

Keywords

  • Bariatric surgery
  • Complications
  • Failure
  • Laparoscopic adjustable gastric banding
  • Weight loss

ASJC Scopus subject areas

  • Surgery

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