Fourteen-Year Long-Term Results after Gastric Banding
Background. Gastric banding (GB) is a common bariatric procedure that is performed worldwide. Weight loss can be substantial after this procedure, but it is not sufficient in a significant portion of patients. Long-term rates for associated complications increase with every year of follow up, and on...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2011/128451 |
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| author | Christine Stroh Ulrich Hohmann Harald Schramm Frank Meyer Thomas Manger |
| author_facet | Christine Stroh Ulrich Hohmann Harald Schramm Frank Meyer Thomas Manger |
| author_sort | Christine Stroh |
| collection | DOAJ |
| description | Background. Gastric banding (GB) is a common bariatric procedure that is performed worldwide. Weight loss can be substantial after this procedure, but it is not sufficient in a significant portion of patients. Long-term rates for associated complications increase with every year of follow up, and only a few long-term studies have been published that examine these rates. We present our results after 14 years of postoperative follow up. Methods. Two hundred patients were operated upon form 01.02.1995 to 31.01.2009. Data collection was performed prospectively. In retrospective analysis, we analyzed weight loss, short- and long-term complications, amelioration of comorbidities and long-term outcome. Results. The mean postoperative follow up time was 94.4 months (range 2–144). The follow up rate was 83.5%. The incidence of postoperative complications for slippage was 2.5%, for pouch dilatation was 9.5%, for band migration was 5.5% and 12.0% for overall band removal. After 14 years, the reoperation rate was 30.5% with a reoperation rate of 2.2% for every year of follow up. Excess weight loss was 40.2% after 1 year, 46.3% after 2 years, 45.9% after 3 years, 41.9% after five years, 33.3% after 8 years, 30.8% after 10 years, 33.3% after 12 years and 15.6% after 14 years of follow up. Conclusion. The complication and reoperation rate after GB is high. Nevertheless, GB is still a therapeutic option in morbid obese patients, but the criteria for patient selection should be carefully evaluated. |
| format | Article |
| id | doaj-art-1be1dea7bbdf409a95c3aea783b7e98d |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-1be1dea7bbdf409a95c3aea783b7e98d2025-02-03T01:26:06ZengWileyJournal of Obesity2090-07082090-07162011-01-01201110.1155/2011/128451128451Fourteen-Year Long-Term Results after Gastric BandingChristine Stroh0Ulrich Hohmann1Harald Schramm2Frank Meyer3Thomas Manger4Department of General, Abdominal and Pediatric Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, GermanyDepartment of General, Abdominal and Pediatric Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, GermanyDepartment of General, Abdominal and Pediatric Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, GermanyOtto-von-Guericke University, 39106 Magdeburg, GermanyDepartment of General, Abdominal and Pediatric Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, GermanyBackground. Gastric banding (GB) is a common bariatric procedure that is performed worldwide. Weight loss can be substantial after this procedure, but it is not sufficient in a significant portion of patients. Long-term rates for associated complications increase with every year of follow up, and only a few long-term studies have been published that examine these rates. We present our results after 14 years of postoperative follow up. Methods. Two hundred patients were operated upon form 01.02.1995 to 31.01.2009. Data collection was performed prospectively. In retrospective analysis, we analyzed weight loss, short- and long-term complications, amelioration of comorbidities and long-term outcome. Results. The mean postoperative follow up time was 94.4 months (range 2–144). The follow up rate was 83.5%. The incidence of postoperative complications for slippage was 2.5%, for pouch dilatation was 9.5%, for band migration was 5.5% and 12.0% for overall band removal. After 14 years, the reoperation rate was 30.5% with a reoperation rate of 2.2% for every year of follow up. Excess weight loss was 40.2% after 1 year, 46.3% after 2 years, 45.9% after 3 years, 41.9% after five years, 33.3% after 8 years, 30.8% after 10 years, 33.3% after 12 years and 15.6% after 14 years of follow up. Conclusion. The complication and reoperation rate after GB is high. Nevertheless, GB is still a therapeutic option in morbid obese patients, but the criteria for patient selection should be carefully evaluated.http://dx.doi.org/10.1155/2011/128451 |
| spellingShingle | Christine Stroh Ulrich Hohmann Harald Schramm Frank Meyer Thomas Manger Fourteen-Year Long-Term Results after Gastric Banding Journal of Obesity |
| title | Fourteen-Year Long-Term Results after Gastric Banding |
| title_full | Fourteen-Year Long-Term Results after Gastric Banding |
| title_fullStr | Fourteen-Year Long-Term Results after Gastric Banding |
| title_full_unstemmed | Fourteen-Year Long-Term Results after Gastric Banding |
| title_short | Fourteen-Year Long-Term Results after Gastric Banding |
| title_sort | fourteen year long term results after gastric banding |
| url | http://dx.doi.org/10.1155/2011/128451 |
| work_keys_str_mv | AT christinestroh fourteenyearlongtermresultsaftergastricbanding AT ulrichhohmann fourteenyearlongtermresultsaftergastricbanding AT haraldschramm fourteenyearlongtermresultsaftergastricbanding AT frankmeyer fourteenyearlongtermresultsaftergastricbanding AT thomasmanger fourteenyearlongtermresultsaftergastricbanding |