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Background <p>Laparoscopic adjustable gastric banding (LAGB) was performed frequently from 2001 to 2012 in the U.S. Many patients still have bands in place, but evaluations of long-term outcomes are few. This study’s purpose was to identify predictors of 10-year optimal clinical response following LAGB procedures.</p> Methods <p>Demographic, perioperative, and surgical outcomes data (2006–2013) from a single academic institution were analyzed. Electronic medical records were reviewed and patients were contacted using a standardized script for follow-up data. A logistic regression model identified predictors of optimal clinical response, ≥ 20% total weight loss (TWL), at 10&#xa0;years.</p> Results <p>351 LAGB patients were included in the study: 80% female, 83% Caucasian, median age 45.2 (37.0–54.3) years, initial baseline weight 122.2 (111.5–138.2) kg, and initial BMI 43.6 (40.7–47.5) kg/m<sup>2</sup>. 307 patients had 10-year outcomes with 34% meeting criteria for optimal clinical response. Patients with ≥ 20% TWL had significantly more diabetes, longer operations, and were shorter than patients with &lt; 20% TWL (all <i>p</i> &lt; 0.03). Factors associated with a ≥ 20% TWL at ten years included higher baseline BMI and age ≥ 55&#xa0;years. 36% of patients had their LAGB removed by 10&#xa0;years.</p> Conclusions <p>Analysis of our LAGB patient population shows that older age and higher baseline BMI were predictors of long-term optimal clinical response. The associations of diabetes and hyperlipemia with ≥ 20% TWL after LAGB are novel findings.</p> Graphical Abstract <p></p>

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Predictors of Successful Long-Term Weight Loss Following Gastric Band Procedures

  • 期刊论文

  • 发表日期：

    2026年2月27日

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  • Myoung- Won Son,
  • Cameron F. Stadlin,
  • Ruyun Jin,
  • Florence E. Turrentine,
  • Bruce Schirmer

摘要

Background

Laparoscopic adjustable gastric banding (LAGB) was performed frequently from 2001 to 2012 in the U.S. Many patients still have bands in place, but evaluations of long-term outcomes are few. This study’s purpose was to identify predictors of 10-year optimal clinical response following LAGB procedures.

Methods

Demographic, perioperative, and surgical outcomes data (2006–2013) from a single academic institution were analyzed. Electronic medical records were reviewed and patients were contacted using a standardized script for follow-up data. A logistic regression model identified predictors of optimal clinical response, ≥ 20% total weight loss (TWL), at 10 years.

Results

351 LAGB patients were included in the study: 80% female, 83% Caucasian, median age 45.2 (37.0–54.3) years, initial baseline weight 122.2 (111.5–138.2) kg, and initial BMI 43.6 (40.7–47.5) kg/m2. 307 patients had 10-year outcomes with 34% meeting criteria for optimal clinical response. Patients with ≥ 20% TWL had significantly more diabetes, longer operations, and were shorter than patients with < 20% TWL (all p < 0.03). Factors associated with a ≥ 20% TWL at ten years included higher baseline BMI and age ≥ 55 years. 36% of patients had their LAGB removed by 10 years.

Conclusions

Analysis of our LAGB patient population shows that older age and higher baseline BMI were predictors of long-term optimal clinical response. The associations of diabetes and hyperlipemia with ≥ 20% TWL after LAGB are novel findings.

Graphical Abstract