Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 5/2008

01-05-2008 | Research Article

Ten Years Experience with Laparoscopic Adjustable Gastric Banding

Authors: Jean Biagini, Lamisse Karam

Published in: Obesity Surgery | Issue 5/2008

Login to get access

Abstract

Background

Gastric banding is a safe and efficient bariatric procedure. We report here the results of 591 consecutive gastric bandings in terms of excess weight loss with up to 10 years follow-up and the complications.

Methods

Between June 1996 and September 2006, 591 patients underwent laparoscopic adjustable gastric banding (LAGB) by the same surgeon (JB). Of these patients, 69.2% were women. Mean age was 33.6 years ± 10.7 and mean BMI was 41.95 kg/m2 ± 8.7. Patients were reviewed monthly for the first 6 months, every 2 months for the next 6 months, and yearly thereafter. Excess weight loss was calculated at 6 months and 1, 2, 4, 6, 8, and 10 years.

Results

Six hundred eleven bands were implanted in 591 patients. Fifty-one patients (8.6%) had band removal due to a complication. Mean follow-up was 35 ± 2 months. Percentage of excess weight loss was 45.8% ± 27.4 at 6 months, 66.7% ± 30.3 at 1 year, 72.6% ± 28.8 at 2 years, 75.9% ± 27.4 at 4 years, 82.8% ± 32.6 at 6 years, 82.3% ± 25.1 at 8 years, and 82.7% ± 4.2 at 10 years. Complications encountered were band failure (9.3%), slippage (5.3%), erosion (4.6%), infection (2.4%), high band position (1.9%), and others (2.8%). Complication rate was 23.3% overall but dropped to 2.5% when calculated on the second half of the patients.

Conclusion

LAGB is a safe and efficient bariatric procedure. With experience, the complication rate drops to a very low level. Close follow-up can further increase its efficacy.
Literature
1.
2.
Edwards MA, Grinbaum R, Schneider BE, et al. Benchmarking hospital outcomes for laparoscopic adjustable gastric banding. Surg Endosc. 2007;21:1950–56.PubMedCrossRef
3.
O’Brien PE, Brown WA, Dixon JB. Obesity, weight loss and bariatric surgery. Med J Aust. 2005;183:320–4.
4.
Korenkov M, Sauerland S, Jujinger T. Surgery for obesity. Curr Opin Gastroenterol. 2005;21:679–83.PubMedCrossRef
5.
O’Brien PE, McPhail T, Chaston TB, et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006;16:1032–40.PubMedCrossRef
6.
Favretti F, Segato G, Ashton D, et al. Laparoscopic adjustable gastric banding in 1791 consecutive obese patients: 12-year results. Obes Surg. 2007;17:168–75.PubMedCrossRef
7.
Parikh MS, Shen R, Weiner M, et al. Laparoscopic bariatric surgery in super-obese patients (BMI > 50) is safe and effective: a review of 332 patients. Obes Surg. 2005;15(6):858–63.PubMedCrossRef
8.
Myers JA, Sarker S, Shayani V. Treatment of massive superobesity with laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2006;2(1):37–40.PubMedCrossRef
9.
Dillard BE 3rd, Gorodner V, Galvani C, et al. Initial experience with the adjustable gastric band in morbidly obese US adolescents and recommendations for further investigation. J Pediatr Gastroenterol Nutr. 2007;45(2):240–6.PubMedCrossRef
10.
Al-Qahtani AR. Laparoscopic adjustable gastric banding in adolescent: safety and efficacy. J Pediatr Surg. 2007;42(5):894–7.PubMedCrossRef
11.
Taylor CJ, Layani L. Laparoscopic adjustable gastric banding in patients ≥60 years old: is it worthwhile? Obes Surg. 2006;16:1579–83.PubMedCrossRef
12.
13.
Zinzindohoue F, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity. prospective study of 500 consecutive patients. Ann Surg. 2003;237(1):1–9.PubMedCrossRef
14.
Wölnerhanssen B, Kern B, Peters T, et al. Reduction in slippage with 11-cm Band® and change of gastric banding technique. Obes Surg. 2005;15:1050–4.PubMedCrossRef
15.
Novinscak T, Franjic BD, Glavan E, et al. Early results of recently introduced laparoscopic adjustable gastric banding procedure for morbid obesity in Croatia. JSLS. 2006;10(4):421–5.PubMed
16.
te Riele WW, Dejong JR, Vogten JM, et al. Sustained weight loss 2 years after laparoscopic adjustable gastric banding for morbid obesity. Ned Tijdschr Geneeskd. 2007;151(20):1130–5.
17.
O’Brien PE, Dixon JB, Laurie C, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial. Ann Intern Med. 2006;144(9):625–33.PubMed
18.
Micheletto G, Roviaro G, Lattuada E, et al. Adjustable gastric banding for morbid obesity. Our experience. Ann Ital Chir. 2006;77(5):397–400.PubMed
19.
Stringer KM, Bryant R, Hopkins GH, et al. Gastric banding at the royal brisbane and women’s hospital: trials and tribulations of a public service. ANZ J Surg. 2007;77(7):550–2.PubMedCrossRef
20.
Dineros H, Sinamban R, Siozon M, et al. Obesity surgery in the Philippines: experience in a private tertiary care hospital for years 2002 to 2004. Obes Surg. 2007;17(1):82–7.PubMedCrossRef
21.
O’Brien PE, Dixon JB, Laurie C, et al. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flacida pathways. Obes Surg. 2005;15:820–6.PubMedCrossRef
22.
Cottam DR, Atkinson J, Anderson A, et al. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y gastric bypass and Lap-Band patients in a single US center with three-year follow-up. Obes Surg. 2006;16(5):534–40.PubMedCrossRef
23.
Nadler EP, Youn HA, Ginsburg HB, et al. Short-term results in 53 US obese pediatric patients treated with laparoscopic adjustable gastric banding. J Pediatr Surg. 2007;42(1):137–41.PubMedCrossRef
24.
Watkins BM, Montgomery KF, Ahroni JH, et al. Adjustable gastric banding in an ambulatory surgery center. Obes Surg. 2005;15(7):1045–9.PubMedCrossRef
25.
Dargent T. Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure—a 9 year series. Obes Surg. 2004;14:986–90.PubMedCrossRef
Metadata
Title
Ten Years Experience with Laparoscopic Adjustable Gastric Banding
Authors
Jean Biagini
Lamisse Karam
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 5/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9470-6

Other articles of this Issue 5/2008

Obesity Surgery 5/2008 Go to the issue

Modern Surgery: Technical Innovation

Advances in Circular Stapling Technique for Gastric Bypass: Transoral Placement of the Anvil

Research Article

Preliminary Results of the Laparoscopic Adjustable Gastric Banding Procedure by a New Generation of Silicone Band: MIDBAND

Correspondence

Functional Aspects of the Esophagus Should be Taken Into Account When Choosing an Individualized Restrictive Bariatric Procedure

OriginalPaper

Preoperative Upper Gastrointestinal Testing Can Help Predicting Long-term Outcome After Gastric Banding for Morbid Obesity

Research Article

Compensatory Exercise Hyperventilation is Restored in the Morbidly Obese After Bariatric Surgery

Research Article

Laparoscopic Totally Stapled Entero-Enterostomy: A Safe and Reproducible New Technique