title: Laparoscopic adjustable gastric banding: a 10-year single-centre experience of 575 cases with weight loss following surgery.
abstract: BACKGROUND
  Laparoscopic adjustable gastric banding (LAGB) is one of the commonest bariatric procedures in the UK. This study reports our experience with this procedure over the last 10 years.
  
  
  METHODS
  A prospectively maintained database of all the patients undergoing LAGB at our centre between March 2000 and August 2010 was analysed.
  
  
  RESULTS
  Five hundred seventy-five patients underwent LAGB at our centre. There was no mortality in this series. Early (30-day) morbidity rate was 2.2 %. Late complications (20 %) comprised: 78 repositioning of the inflation port in 65 patients, repositioning of band in 24 patients (4 %), removal of band in 20 patients (3.4 %), conversion to bypass in 41 patients (7 %), diagnostic laparoscopy in 1 patient and subtotal gastrectomy in 1 patient. Median follow-up was 29 months. The median of percentage of weight loss (%WL) and excess body weight loss (EBWL) was 18.3 and 40 %, respectively, at ≥ 5 years post-LAGB. Patients with body mass index (BMI) over 50 kg/m(2) were compared to those with BMI ≤ 50 kg/m(2). No significant difference was noted in the weight loss between both of these groups. No significant difference was noted with regards to weight loss between patients <60 and >60 years of age.
  
  
  CONCLUSIONS
  In this cohort of patients, %WL and EBWL were 18.3 and 40 % ≥ 5 years after LAGB, respectively, and early and late complication rates were 2.2 and 20 %, respectively. Majority of late complications were in the first 100 patients. Multifactorial causes included the surgical learning curve and patient selection process.
authors.affiliation: Directorate of General Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK. doctorali2000@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Alhamdani
authors.forename: M
authors.initials: M
authors.lastname: Wilson
authors.forename: T
authors.initials: T
authors.lastname: Jones
authors.forename: L
authors.initials: L
authors.lastname: Taqvi
authors.forename: P
authors.initials: P
authors.lastname: Gonsalves
authors.forename: M
authors.initials: M
authors.lastname: Boyle
authors.forename: K
authors.initials: K
authors.lastname: Mahawar
authors.forename: S
authors.initials: S
authors.lastname: Balupuri
authors.forename: P K
authors.initials: PK
authors.lastname: Small
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods; D006801:Humans; D015994:Incidence; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000097:blood / Q000453:epidemiology / Q000601:surgery*; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom / Q000453:epidemiology; D015431:Weight Loss; D055815:Young Adult