Author Affiliation: Department of Surgery, Oregon Health and Science University, Portland, Oregon.
Himpens et al present a series of 151 patients who underwent laparoscopic adjustable gastric banding (LAGB). Of these 151 patients, 82 (54.3%) were followed up for 12 years or longer. Of these 82 patients, 23 (28.0%) experienced band erosion, which was diagnosed at a mean time of 4 years, and 41 (50.0%) had their band removed. Those who still had the band in place lost 48% of their excess weight, whereas those who had their band removed (because they did not lose weight) lost only 22% of their excess weight. The number and type of comorbidities (eg, diabetes, hypertension, and sleep apnea) in this group of patients increased over time.
Deveney CW. To Band or to Bypass, That Is the QuestionComment on “Long-Term Outcomes of Laparoscopic Adjustable Gastric Banding”. Arch Surg. 2011;146(7):807-808. doi:10.1001/archsurg.2011.36