High Failure Rate After Laparoscopic Adjustable Gastric Banding (lagb): Five Year Follow Up.

Introduction: LAGB is a technique increasingly used in USA. The aim of this study was to analyze the 5 year outcome in terms of weight loss and complications.
Methods and patients: We reviewed our prospective electronic database for all patients undergoing LAGB between 2002 and 2007. We assessed weight progression, complication and reoperation.
Results: We performed 199 cases during this period, (70.4%, females). Mean age was 37.8±12.4. Preoperative body mass index (BMI) was 36.0±4.3 kg/m2. Preoperative comorbidities were dyslipidemia 46%, insuline resistance 21%, arterial hipertensión 20% and type 2 diabetes 8%. There were no conversion to open technique. Early complications were observed in 2 patients (1%), one hemoperitoneum and one ileitis. Mortality was 0%. Late complication rate was 36.7%, (19.6% related to the band). Reoperations were required in 40 patients patients (20.1%). Laparoscopic repositioning was done in 6 patients and port/reservoir revision was done in 4 patients. Band removal was required in 30 patients due to inadequate weitgh loss (10), slippage (6), gastric erosion (1) or band intolerance (13). Twenty of these patients underwent revisional surgery: sleeve gastrectomy 12, laparoscopic Roux-Y-Gastric bypass 7 and rebanding 1. Unrelated band complication was seen in 17,1%, maily due to anemia 7,5%, alopecia 4%, colelitiasis 3,5%, incisional hernia 1% and bowel obstruction 0,5%.With a median follow up of 36 months (6-72), 75,4%, 60,4%, 94,6% of the patients were available for follow up at 1,3 and 5 years, respectively. Mean percent excess weight loss (%EWL) at 1, 3 and 5 years was 55.9%±37.7, 57.1%±34.6 and 58.5%±47.4 respectively. However , failure rate (%EWL

Session: Podium Presentation

Program Number: S108

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