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 STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Updates in Surgery
Published in: Updates in Surgery 2/2021

01-04-2021 | Obesity | Original Article

Is there an indication left for gastric band? A single center experience on 178 patients with a follow-up of 10 years

Authors: Antonio Vitiello, Giovanna Berardi, Nunzio Velotti, Giovanni Domenico De Palma, Mario Musella

Published in: Updates in Surgery | Issue 2/2021

Login to get access

Abstract

Background

Laparoscopic Adjustable Gastric Banding (LAGB) has been widely performed in the past at our university bariatric center. Aim of this study was to retrospectively assess long term outcomes of LAGB at our university hospital, with special regard to non-response (EWL < 25%) and rate of band removal.

Methods

Retrospective search of prospectively maintained database of our university bariatric center was carried out to find all consecutive patients that had undergone LAGB at our department with a minimum follow-up of 10 years. Collected data were sex, age, body mass index (BMI), obesity related diseases remission, complications and weight loss.

Results

After 10 years, patients with the band (n = 144) in place had a BMI of 35.2 ± 7.5 kg/m2, while %EWL and % TWL were 40.8 ± 52.4 and 18.9 ± 20.7. Seventy-four (41.6%) achieved a success (%EWL > 50), while 38 (21.3%) were non-responders (%EWL < 25), 32 (18%) had an insufficient weight loss (25 < %EWL < 50) and 34 (19.1%) underwent band removal. Among these, 6 (3.4%) were removed for complications and 28 (15.7%) for insufficient weight loss. Weight regain occurred in 38 out of 144 (26.4%) subjects with the band in place at 10 years. Only one case of early vomiting with readmission for medical treatment was recorded. Slippage, erosion/migration and port/tube complications occurred in 4 (2.2%), 2(1.1%) and 9(5%) cases respectively.

Conclusion

LAGB is a safe and moderately effective bariatric procedure but it showed disappointing rates of removal, non-response and remission from comorbidities. However, LAGB could still be proposed for selected/motivated patients.
Literature
1.
Wilkinson LH, Peloso OA (1981) Gastric (reservoir) reduction for morbid obesity. Arch Surg 116:602–605CrossRef
2.
Kolle K, Bo O, Stadaas J (1982) Gastric banding. In: OMGI 7th Congress, Stockholm, vol 145, p 37
3.
Molina M, Oria HE (1983) Gastric segmentation: a new, safe, effective, simple, readily revised and fully reversible surgical procedure for the correction of morbid obesity. In: 6th Bariatric Surgery Colloquium, Iowa City, IA, pp 2–3
4.
Hallberg D, Forsell O (1985) Ballongband vid behandling av massiv överwikt. Svinsk Kirurgi 344:106–108
5.
Kuzmak LI (1986) Silicone gastric banding: a simple and effective operation for morbid obesity. Contemp Surg 28:13–18
6.
Vinzens F, Kilchenmann A, Zumstein V, Slawik M, Gebhart M, Peterli R (2017) Long-term outcome of laparoscopic adjustable gastric banding (LAGB): results of a Swiss single-center study of 405 patients with up to 18 years' follow-up. Surg Obes Relat Dis 13(8):1313–1319CrossRef
7.
Buchwald H, Oien DM (2013) Metabolic/bariatric surgery worldwide 2011. Obes Surg 23(4):427–436CrossRef
8.
Angrisani L, Santonicola A, Iovino P et al (2017) Erratum to: bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg 27(9):2290–2292CrossRef
9.
Angrisani L, Santonicola A, Iovino P et al (2018) IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures. Obes Surg 28(12):3783–3794CrossRef
10.
11.
Brolin R, Kenler HA, Gorman RC et al (1989) The dilemma of outcome assessment after operations for morbid obesity. Surgery 105:337–346PubMed
12.
American Diabetes Association (2010) Diagnosis and classification of diabetes mellitus. Diabetes Care 33(Suppl 1):S62–S69CrossRef
13.
14.
Goldstein LB, Bushnell CD, Adams RJ et al (2011) Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 42(2):517–584CrossRef
15.
Beitner MM, Ren-Fielding CJ, Fielding GA (2016) Reducing complications with improving gastric band design. Surg Obes Relat Dis 12(1):150–156CrossRef
16.
Lyass S, Cunneen SA, Hagiike M et al (2005) Device-related reoperations after laparoscopic adjustable gastric banding. Am Surg 71(9):738–743CrossRef
17.
Egberts K, Brown WA, O’Brien PE (2011) Systematic review of erosion after laparoscopic adjustable gastric banding. Obes Surg 21(8):1272–1279CrossRef
18.
Kodner C, Hartman DR (2014) Complications of adjustable gastric banding surgery for obesity. Am Fam Physician 89(10):813–818PubMed
19.
Sharples AJ, Charalampakis V, Daskalakis M, Tahrani AA, Singhal R (2017) Systematic review and meta-analysis of outcomes after revisional bariatric surgery following a failed adjustable gastric band. Obes Surg 27(10):2522–2536CrossRef
20.
Magouliotis DE, Tasiopoulou VS, Svokos AA, Svokos KA, Sioka E, Zacharoulis D (2017) Roux-En-Y gastric bypass versus sleeve gastrectomy as revisional procedure after adjustable gastric band: a systematic review and meta-analysis. Obes Surg 27(5):1365–1373CrossRef
21.
Lundberg PW, Gotsch A, Kim E, Claros L, Stotlzfus J, El Chaar M (2019) Safety of one-stage conversion surgery after failed gastric band: our experience and review of the literature. Updates Surg 71(3):445–450CrossRef
22.
Angrisani L, Vitiello A, Santonicola A, Hasani A, De Luca M, Iovino P (2017) Roux-en-Y gastric bypass versus sleeve gastrectomy as revisional procedures after adjustable gastric band: 5-year outcomes. Obes Surg 27(6):1430–1437CrossRef
23.
O'Brien PE, McPhail T, Chaston TB, Dixon JB (2006) Systematic review of medium-term weight loss after bariatric operations. Obes Surg 16(8):1032–1040CrossRef
24.
Naef M, MoutonWG NU et al (2010) Graft survival and complications after laparoscopic gastric banding for morbid obesity—lessons learned from a 12-year experience. Obes Surg 20(9):1206–1214CrossRef
25.
Mittermair RP, Obermuller S, Perathoner A et al (2009) Results and complications after Swedish adjustable gastric banding-10 years experience. Obes Surg 19(12):1636–1641CrossRef
26.
Froylich D, Abramovich-Segal T, Pascal G et al (2018) Long-term (over 10 years) retrospective follow-up of laparoscopic adjustable gastric banding. Obes Surg 28(4):976–980 (published correction appears in Obes Surg. 2017 Dec 1)CrossRef
27.
Arapis K, Tammaro P, Parenti LR et al (2017) Long-term results after laparoscopic adjustable gastric banding for morbid obesity: 18-year follow-up in a single university unit. Obes Surg 27(3):630–640CrossRef
28.
Shen X, Zhang X, Bi J, Yin K (2015) Long-term complications requiring reoperations after laparoscopic adjustable gastric banding: a systematic review. Surg Obes Relat Dis 11(4):956–964CrossRef
29.
Nguyen NT, Kim E, Vu S, Phelan M (2018) Ten-year outcomes of a prospective randomized trial of laparoscopic gastric bypass versus laparoscopic gastric banding. Ann Surg 268(1):106–113CrossRef
30.
Tsai C, Zehetner J, Beel J, Steffen R (2019) Long-term outcomes and frequency of reoperative bariatric surgery beyond 15 years after gastric banding: a high band failure rate with safe revisions. Surg Obes Relat Dis 15(6):900–907CrossRef
31.
Kowalewski PK, Olszewski R, Kwiatkowski A, Gałązka-Świderek N, Cichoń K, Paśnik K (2017) Life with a gastric band. Long-term outcomes of laparoscopic adjustable gastric banding-a retrospective study. Obes Surg 27(5):1250–1253CrossRef
32.
Lazzati A, De Antonio M, Paolino L et al (2017) Natural history of adjustable gastric banding: lifespan and revisional rate: a nationwide study on administrative data on 53,000 patients. Ann Surg 265(3):439–445CrossRef
33.
Vitiello A, Pilone V, Ferraro L, Forestieri P (2018) Is the sleeve gastrectomy always a better procedure? Five-year results from a retrospective matched case-control study. Obes Surg 28(8):2333–2338CrossRef
34.
Peña AS, Delko T, Couper R et al (2017) Laparoscopic adjustable gastric banding in Australian adolescents: should it be done? Obes Surg 27(7):1667–1673CrossRef
35.
Picot J, Jones J, Colquitt JL, Loveman E, Clegg AJ (2012) Weight loss surgery for mild to moderate obesity: a systematic review and economic evaluation. Obes Surg 22(9):1496–1506CrossRef
36.
Lauti M, Kularatna M, Hill AG, MacCormick AD (2016) Weight regain following sleeve gastrectomy-a systematic review. Obes Surg 26(6):1326–1334CrossRef
37.
Tran DD, Nwokeabia ID, Purnell S et al (2016) Revision of roux-en-y gastric bypass for weight regain: a systematic review of techniques and outcomes. Obes Surg 26(7):1627–1634CrossRef
38.
Elder K, Wolfe B (2007) Bariatric surgery: a review of procedures and outcomes. Gastroenterology 132(6):2253–2271CrossRef
39.
O'Brien PE, Hindle A, Brennan L et al (2019) Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg 29(1):3–14CrossRef
40.
Zhou R, Poirier J, Torquati A, Omotosho P (2019) Short-term outcomes of conversion of failed gastric banding to laparoscopic sleeve gastrectomy or Roux-En-Y gastric bypass: a meta-analysis. Obes Surg 29(2):420–425CrossRef
41.
Piazza L, Di Stefano C, Ferrara F, Bellia A, Vacante M, Biondi A (2015) Revision of failed primary adjustable gastric banding to mini-gastric bypass: results in 48 consecutive patients. Updates Surg 67(4):433–437CrossRef
42.
Musella M, Bruni V, Greco F et al (2019) Conversion from laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) to one anastomosis gastric bypass (OAGB): preliminary data from a multicenter retrospective study. Surg Obes Relat Dis 15(8):1332–1339CrossRef
43.
44.
Metadata
Title
Is there an indication left for gastric band? A single center experience on 178 patients with a follow-up of 10 years
Authors
Antonio Vitiello
Giovanna Berardi
Nunzio Velotti
Giovanni Domenico De Palma
Mario Musella
Publication date
01-04-2021
Publisher
Springer International Publishing
Keywords
Obesity
Obesity
Published in
Updates in Surgery / Issue 2/2021
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-020-00858-8

Other articles of this Issue 2/2021

Updates in Surgery 2/2021 Go to the issue

Original Article

Six months as a cutoff time point to define early recurrence after liver resection of hepatocellular carcinoma based on post-recurrence survival

Original Article

Does preoperative stent positioning in obstructive left sided colon cancer increase the risk of perineural invasion?

Original Article

Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil

Original Article

Traumatic hollow viscus and mesenteric injury: role of CT and potential diagnostic–therapeutic algorithm

Original Article

Intraoperative neuromonitoring during prone thoracoscopic esophagectomy for esophageal cancer reduces the incidence of recurrent laryngeal nerve palsy: a single-center study

Original Article

The rise of one anastomosis gastric bypass: insights from surgeons and dietitians