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Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric surgical procedure. The introduction of laparoscopy has increased the use of this procedure, making it the most commonly performed bariatric surgery. Patients undergoing LAGB have achieved satisfactory results in terms of weight loss, a reduction in co-morbidities, and improved quality of life. Nonetheless, complications with LAGB are well documented and include migration, erosion, prolapse, infection, pouch dilation, gastric perforation, and most commonly, lack of weight loss following the failure of the procedure. This case report presents a patient with slippage and pouch dilation, erosion of the stomach, and port site problems, including infection, occurring 28 years after LAGB.


laparoscopic adjustable gastric banding LAGB long-term complication reoperation

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Gambardella, D., Capomolla, A., Filippo, R., Schicchi, A. A., Borrello, L., & Tedesco, M. (2020). Laparoscopic adjustable gastric banding’s multiple complications: when complications arise even after 30 years, a case report. Journal of Gastric Surgery, 2(4), 123-126.


  1. [1] Rishi Singhal et al. Band slippage and erosion after laparoscopic gastric banding: a meta-analysis. Surg Endosc. 2010 Dec;24(12):2980-6.
  2. [2] Hye Seong Ahn et al. 2013 Nation wide Bariatric and Metabolic Surgery Report in Korea. J Metab Bariatr Surg. 2014;3 (2):38–43.
  3. [3] Lars Sjöström, M.D. et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007; 357:741-752.
  4. [4] Kuzmak L. A review of seven years experience with silicone gastric banding. Obes Surg. 01 Dec 1991, 1(4):403-408.
  5. [5] Steffen R. The history and role of gastric banding.Obes Surg Relat Dis. May-Jun 2008;4(3 Suppl):S7-13.
  6. [6] Buchwald H.&Williams S. Bariatric surgery worldwide 2003. Obes Surg. 2004 Oct;14(9):1157-64.
  7. [7] Dargent, J. Surgical Treatment of Morbid Obesity by Adjustable Gastric Band: the Case for a Conservative Strategy in the Case of Failure – a 9-Year Series. Obes Surg. 2004 Aug;14(7):986-90.
  8. [8] Vertruyen M. Experience with Lap-Band system up to7 years. Obes Surg, 01 Aug 2002, 12(4):569-572.
  9. [9] Weiner R. et al. Outcome after laparoscopic adjustable gastricbanding: 8 years experience. Obes Surg. 2003 Jun;13(3):427-34.
  10. [10] Katie Weichman et al. The effectiveness of adjustable gastric banding: a retrospective 6-year U.S. follow-up study. Surg Endosc. 2011 Feb;25(2):397-403.
  11. [11] O’Brien P. E. et al. The laparoscopic adjustable gastric band (Lap- Band): a prospective study of medium-term effects on weight, health, and quality of life. Obes Surg. 2002 Oct;12(5):652-60.
  12. [12] O’Brien P. E. et al. Systematic review of medium-term weight loss after bariatric operations.Obes Surg. 2006 Aug;16(8):1032-40.
  13. [13] Ponce J., Paynter S. & Fromm R. Laparoscopic adjustablegastric banding: 1, 014 consecutive cases. JACS, 01 Oct 2005, 201(4):529-535.
  14. [14] O'Brien P.E. et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013 Jan;257(1):87-94.
  15. [15] Belechew M., Belva P. & Desaive C. Long-term results of laparoscopic adjustable gastric banding for the treatment ofmorbid obesity. Obes Surg. 2002 Aug;12(4):564-8
  16. [16] Allen J.W. Laparoscopic gastric band complications. Med Clin North Am. 2007;91:485–497.
  17. [17] O’Brien P.E. &Dixon J.B. (2003). Lap-Band: outcomes and results. J Laparosendosc Adv Surg Tech 13(4), 265 – 270.
  18. [18] Eun Young Kim, M.D. & Yong Jin Kim, M.D., Ph.D. Life-threatening late complication after laparoscopic adjustable gastric banding: two cases of gastric necrosis. Surg Obes Relat Dis. 2016 Jan;12(1):e5-9.
  19. [19] MoserF. et al. Pouch enlargement and band slippage: two different entities. Surg Endosc. 2006 Jul;20(7):1021-9.
  20. [20] Shen X., Zhang X., Bi J., Yin K. Long-term complications requiring reoperations after laparoscopic adjustable gastric banding: a systematic review. Surg Obes Relat Dis. 2015;11(4):956–64.
  21. [21] Dominic J Vitello et al. Value of Routine Gastrografin Upper Gastrointestinal Study After Sleeve Gastrectomy. JAMA Surg. 2019 Feb 1;154(2):181-182.