title: Update on Treatment of Morbid Obesity with Adjustable Gastric Banding.
abstract: Laparoscopic adjustable gastric banding (LAGB) is considered the simplest of the bariatric operations. Although studies have confirmed the effectiveness of the LAGB in terms of weight loss and resolution of comorbidities, concerns have developed over its long-term efficacy and safety. Reports have described a high incidence of complications and need for reintervention. These reports and the availability of other effective and well-tolerated procedures have determined a significant decrease in the number of LAGBs performed. This article reviews key historic milestones, fundamental changes in the design and technique, and potential reasons that determined a quick rise and a progressive fall of LAGB's popularity.
authors.affiliation: The Bariatric and Metabolic Institute, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Lo Menzo
authors.affiliation: The Bariatric and Metabolic Institute, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
authors.affiliation: The Bariatric and Metabolic Institute, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA. Electronic address: rosentr@ccf.org.
authors.forename: Raul
authors.initials: R
authors.lastname: Rosenthal
mesh_terms: D015391:Gastroplasty / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Complications; Laparoscopic adjustable gastric banding; Morbid obesity; Reoperations