Long-term Outcomes of Laparoscopic Adjustable Gastric Banding

I have no taste for either the Gastric by Pass (Roux-en-Y) or LAP Band procedures for Obese individuals. If I had to choose, on safety alone, I probably would opt for the Band. But recent studies published in the Archives in Surgery apparently defer to the permanency of the Gastric by Pass.

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.

I can't see how by passing the duodenum and part of jejunum can be good for digestion. At least within the estimated 4 year life of the LAP Band diet and exercise habits could be modified leading to a more normal life. Isn't quality of life post operative more important than the longevity of a device? Modern disease/health care only deals with numbers which typically come back to bite them. I always find it interesting that most studies recommended longer study periods; but they never come?

To Band or to Bypass, That Is the QuestionComment on "Long-Term Outcomes of Laparoscopic Adjustable Gastric Banding"


Bone Loss in Adolescents After Bariatric Surgery - Pediatrics

Prognosis: Study Finds Troubles With Gastric Band Surgery - New York Times


Dr. David Marcon
Work Smarter, Not Harder!
Cincinnati Ohio
drdavidmarcon.com









To Band or to Bypass, That Is the Question