Laparoscopic adjustable gastric band survival in a high‐volume bariatric unit. Issue 12 (9th October 2013)

• Record Type: Journal Article
• Authors: Brown, J. J. S.; Boyle, M.; Mahawar, K.; Balupuri, S.; Small, P. K.
• Is Part Of: British journal of surgery. Volume 100:Issue 12(2013:Dec.)
• Page Start: 1614
• Page End: 1618
• Publication Date: 2013-10-09
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1002/bjs.9284
• Languages: English
• ISSNs: 0007-1323

Abstract

<abstract abstract-type="main" id="bjs9284-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bjs9284-sec-0001" sec-type="section"> <title>Background</title> <p id="bjs9284-para-0001"> <bold>Although laparoscopic adjustable gastric bands (LAGBs) have been shown to be efficacious, their long‐term usefulness has been questioned. This study examined the fate of LAGBs in a unit with over a decade of experience in their use. Patient factors related to the need for, and timing of, band removal were investigated</bold>.</p> </sec> <sec id="bjs9284-sec-0002" sec-type="section"> <title>Methods</title> <p id="bjs9284-para-0002"> <bold>A prospectively maintained database was used to identify all patients with a LAGB. Patient demographics, need for band removal and band survival were examined. Logistic regression modelling was done and Kaplan–Meier curves were calculated for band survival</bold>.</p> </sec> <sec id="bjs9284-sec-0003" sec-type="section"> <title>Results</title> <p id="bjs9284-para-0003"> <bold>Between 2000 and 2012, 674 bands were placed in 665 patients. Of these, 143 (21·2 per cent) were removed. There was no difference in rates of removal by sex (<italic>P</italic> = 0·910). The highest rates of removal were in patients aged less than 40 years (26·7 per cent), and those with a BMI greater than 60 kg/m<sup>2</sup> (28·6 per cent). Earlier band removal was seen in younger patients (<italic>P</italic> = 0·002). Rates of removal increased linearly by earlier year of placement. Of bands placed 4 or more years previously, 35·0 per cent required removal. Eighty‐three patients (58·0 per cent) who had a LAGB removed went on to have a further bariatric procedure (band to bypass, 66; band to sleeve, 17)</bold>.</p> </sec> <sec id="bjs9284-sec-0004" sec-type="section"> <title>Conclusion</title> <p id="bjs9284-para-0004"> <bold>Even in experienced hands LAGB does not appear to be a definitive solution. In a large number of patients there appears to be a finite 'band life', with the majority of patients requiring conversion to a further bariatric procedure</bold>.</p> <p id="bjs9284-para-0005">Presented in part to a meeting of the British Obesity and Metabolic Surgery Society, Glasgow, UK, January 2013, as an oral presentation for which it was awarded the council prize; published in abstract form as <italic>Br J Surg</italic> 2013; <bold>100</bold>(Suppl 3): 2</p> </sec> </abstract>