Long-term results of the patients who were applied laparoscopic adjustable gastric banding
Sabri Özden , Barış Saylam , Fatih Mehmet Avşar
Clinic of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Objective: The most effective treatment step in morbid obesity is surgical treatment. The purpose of the present study was to investigate the long-term follow-up results and success rates in laparoscopic adjustable gastric banding.
Material and Methods: The change in body mass index, percentage of excess weight loss, comorbidities, and resulting complications were investigated in 220 patients who were morbidly obese and applied laparoscopic adjustable gastric band between April 2006 and February 2012, throughout the 6-year follow-up period. Forty-six patients who did not show up for their routine follow-ups were excluded from the study.
Results: In the present study, band removal percentage was 35.63%. The percentage of excess weight loss in patients who were followed up without removal of the band was 46.03%. Complications were observed in 46.5% of the patients. The most frequently observed complication among the major complications was band intolerance, which is also the most common cause of band removal. Band removal was considered as a failure in laparoscopic adjustable gastric band operations, and patients were referred to other surgical methods.
Conclusion: When improved patient compliance and careful and close patient follow-up are provided in the early stages of laparoscopic adjustable gastric band application, it may be possible to reach percentage of excess weight loss results that would be the nearest to those achieved by gastric bypass or sleeve gastrectomy methods. However, high complication rates and necessity to perform other bariatric surgical procedures in the majority of the patients in the long-term follow-up suggest that the laparoscopic adjustable gastric band operation is not the first choice in bariatric surgery.
Keywords: Body mass index, laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, percentage of excess weight loss
Cite this article as: Özden S, Saylam B, Avşar FM. Long-term results of laparoscopic adjustable gastric banding. Turk J Surg 2019; 35 (2): 79-85
Ethics committee approval was received for this study from the Ethics Committee of Ankara Numune Training and Research Hospital (2013-545).
Informed consent was not received due to the retrospective nature of the study.
Concept - S.O., M.F.A.; Design - S.O., M.F.A.; Supervision - M.F.A., B.S.; Data Collection and/or Processing - S.O.; Analysis and/or Interpretation - S.O., M.F.A.; Literature Search - S.O.; Writing Manuscript - S.O., M.F.A; Critical Reviews - B.S., M.F.A.
The authors have no conflicts of interest to declare.
The authors declared that this study has recevied no financial support