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Long-Term Results and Complications Following Adjustable Gastric Banding

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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/m2. BMI after 1, 5, 7, 9, and 10 years was 33 ± 6, 30 ± 6, 31 ± 6, 32 ± 7, and 31 ± 7 kg/m2, 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.

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Authors and Affiliations

  1. Department of Visceral, Transplantation and Thoracic Surgery, Centre for Operative Medicine, Innsbruck, Austria

    Monika Lanthaler, Franz Aigner, Michael Sieb & Ferguel Cakar-Beck

  2. Department of Psychiatry and Psychotherapy, Innsbruck Medical University Hospital, Anichstrasse 35, 6020, Innsbruck, Austria

    Johann Kinzl

  3. St. Johann County Hospital, Bahnhofstrasse 14, 6380, St. Johann, Austria

    Hermann Nehoda

  4. Department of General and Transplant Surgery, Innsbruck Medical University Hospital, Anichstrasse 35, 6020, Innsbruck, Austria

    Monika Lanthaler

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  1. Monika Lanthaler
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  2. Franz Aigner
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  3. Johann Kinzl
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  4. Michael Sieb
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  5. Ferguel Cakar-Beck
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Correspondence to Monika Lanthaler.

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Lanthaler, M., Aigner, F., Kinzl, J. et al. Long-Term Results and Complications Following Adjustable Gastric Banding. OBES SURG 20, 1078–1085 (2010). https://doi.org/10.1007/s11695-010-0190-3

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