title: Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period.
abstract: BACKGROUND
  Laparoscopic adjustable gastric banding (LAGB) is a common bariatric surgery. Although it is a safe and effective method of weight reduction in short term, it may result in some problems in long term. The purpose of this study was to investigate the consequences of LAGB in long term among morbid obese patients.
  
  
  METHODS
  In this prospective study, 80 patients underwent LAGB using pars flaccida technique from 2001 to 2006. Long-term postoperative consequences and complications of these patients were recorded.
  
  
  RESULTS
  The preoperative mean values of weight and body mass index were 125.5 ± 22.5 kg and 44.5 ± 6.5 kg/m(2), respectively. Over the 13-year follow-up period, 56 patients (84.8%) experienced at least one complication. The most common complications were band erosion (20 patients) and weight regains (13 patients). Fifty-one patients (78.5%) required reoperation. The band of 48 patients (72.7%) was removed; of these, twenty patients (30.3%) underwent other bariatric surgeries. Percent of excess weight loss was 47.1% ± 30.1%, and the success rate was 48.7%.
  
  
  CONCLUSIONS
  LAGB is a successful method with low complications in short term; however, over long term, it results in various complications.
authors: Department of Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Keshavarz Boulevard, Tehran 13145-158, Iran. Electronic address: toulabika@gmail.com.
authors: Karamollah
authors: K
authors: Toolabi
authors: School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mahdieh
authors: M
authors: Golzarand
authors: Department of Social Sciences and Health, Durham University, Durham, UK.
authors: Roya
authors: R
authors: Farid
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011446:Prospective Studies; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D015430:Weight Gain; D015431:Weight Loss; D055815:Young Adult
keywords: Bariatric surgery; Complication; Laparoscopy; Morbid obesity; Weight loss