A 10-year experience with laparoscopic gastric ban...[Obes Surg. 2006] - PubMed Result
RESULTS: Between June 1997 and June 2003, LGB was performed in 317 patients, 43 men and 274 women. Mean age was 38 years (19-69), mean weight was 119 kg (79-179), and mean BMI was 43.5 kg/m(2) (34-78). 97.8% of the patients were available for follow-up after 3 years, 88.2% after 5 years, and 81.5% after 7 years. Overall, 105 (33.1%) of the patients developed late complications, including band erosion in 9.5%, pouch dilatation/slippage in 6.3%, and catheter- or port-related problems in 7.6%. Major reoperation was required in 21.7% of the patients. The mean EWL at 5 years was 58.5% in patients with the band still in place. The failure rate increased from 13.2% after 18 months to 23.8% at 3, 31.5% at 5, and 36.9% at 7 years. CONCLUSIONS: LGB appeared promising during the first few years after its introduction, but results worsen over time, despite improvements in the operative technique and material. Only about 60% of the patients without major complication maintain an acceptable EWL in the long term. Each year adds 3-4% to the major complication rate, which contributes to the total failure rate. With a nearly 40% 5-year failure rate, and a 43% 7-year success rate (EWL >50%), LGB should no longer be considered as the procedure of choice for obesity. Until reliable selection criteria for patients at low risk for long-term complications are developed, other longer lasting procedures should be used.
I guess I'm feeling bad because I one person I tried to convince to try the Band has just had to have her Band completely unfilled due to severe reflux... and she is barely one year out. She's loss maybe 40% of what she needed to, but is now, regaining. I think that so many of us try to paint the Band as positive that we don't talk about the negative... and that we don't accept/realize that this surgery really isn't successful for a lot of people... this study shows a nearly 43% failure rate at 5 years.
Laparoscopic adjustable gastric banding versus Rou...[Surg Obes Relat Dis. 2007 Mar-Apr] - PubMed Result
"Weight loss failure (BMI >35 kg/m(2) at 5 yr) was observed in 9 (34.6%) of 26 LAGB patients and in 1 (4.2%) of 24 LRYGB patients (P <.001). Of the 26 patients in the LAGB group and 24 in the LRYGB group, 3 (11.5%) and 15 (62.5%) had a BMI of <30 kg/m(2), respectively (P <.001)."
This study shows a failure rate of 35% at 5 years for the Band.
I wonder what the real figures are. I'd love to know.