Evaluation of the Long Term Results of Gastric Banding Surgery

One of the most preferred method (Europe, Australia and USA) at obesity surgery for today is Laparoscopic Gastric Banding Operation. Approximately over 500.000 patients have been estimated to receive the application in the wolrd up to the present. Long term result of this operation are presented in details following.

Favretti et al. (Laparoscopic adjustable gastric banding in 1,791 consecutive obese patients: 12-year results. Favretti F, Segato G, Ashton D et al. Obes Surg. 2007) have implemented laparoscopic gastric banding operation to 1791 patients between 1993 and 2005. 75.1% of patients were female and 24.9 % were male, mean age was 38.7±10.9 years, mean weight was 127.7±24.3 kg and mean BMI has been identified as 46.2+7.7 kg/m². 91% of the patiens have been followed up for a period of 12 years. At first, BioEnterics Intragastric Balloon (Stomach Balloon) has been implemented to 125 of the patients and after providing them to loss weight in a certain extent, Gastric Banding has been implemented. Major complication rate due to operation was 0.05 – 5.9% and minor complication rate was 0.5 – 11.2%. Mortality due to operation (death) has not been developed at any patient. At following up for 10 years weight loss was 101.4+27.1 kg (mean 26.3 kg), BMI loss was 37.7+9.1 kg/m2 (mean 8.5 kg/m2) and excess weight loss percentage was 38.5+27.9%. Regression and treatment have been defined at 36.2% of the patients with Type 2 diabetes and 60.6% of the patients with hypertendsion. At the statistical analysis that has been executed in this study on life expentancy longer-term life has been identified at the patients with the gastric banding than those have not gastric banding.

Mittermair et al. (Results and Complications after Swedish Adjustable Gastric Banding-10 Years Experience. Mittermair RP, Obermüller S, Perathoner A et al. Obes Surg. 2009) have the opportunity at their assessment to follow-up 785 patients those have been underwent Laparoscopic Gastric Banding for a 10 years period. The patients have showed mean loss of 26 kg at first year whereas this weight loss has been mean 40.5 kg at the last of 8 years. Excess weight loss percentage has been defined as 65.5%. Mortality due to operation has not been developed at any patient.

In a conclusion, Laparoscopic Gastric Banding is a method easy to implementation with short length of stay at hospital and which has provided permanent weight loss in a long term. Patient compliance is extremely important at this applcation and the band doesn’t required to be removed if there is no any problem developed.

	Patient Number	Follow – Up	Excess Weight Loss Percentage
Favretti et al.	1791	12 years	%38.5±27.9
Zehetner J et al.	190	6 years	%50
Toouli J et al.	481	5 years	%49.8
Miller K et al.	158	4 years	%54.7
Zinzindohoue F et al.	500	3 yıl	%54.8

Assoc. Prof. Halil Coskun M.D.