The DOI matches its Crossref record; 37 of the 39 references it cites were found in a registry or an index.
Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial
Abstract
Background There are few studies of long-term outcomes for either laparoscopic adjustable gastric banding (LAGB) or laparoscopic Roux-en-Y gastric bypass (LRYGB). The objective of this study was to compare outcomes of patients randomly assigned to undergo LAGB or LRYGB at 10 years.Methods LAGB, using the pars flaccida technique, and standard LRYGB were performed. From January 2000 to November 2000, 51 patients (mean age 34.0 ± 8.9 years; range 20-49) were randomly allocated to undergo either LAGB (n = 27, 5 men and 22 women; mean age 33.3 years; mean weight 120 kg; mean body mass index [BMI] 43.4 kg/m(2)) or LRYGB (n = 24, 4 men and 20 women; mean age 34.7; mean weight 120 kg; mean BMI 43.8 kg/m(2)). Data on complications, reoperations, weight, BMI, percentage of excess weight loss, and co-morbidities were collected yearly. The data were analyzed using Student's t test and Fisher's exact test, with P<.05 considered significant.Results Five patients in the LAGB group and 3 patients in the LRYGB group were lost to follow-up. No patient died. Conversion to laparotomy was performed in 1 (4.2%) of 24 LRYGB patients. Reoperations were required in 9 (40.9%) of 22 LAGB patients and in 6 (28.6%) of the 21 LRYGB patients. At 10-year follow-up, the LRYGB patients had a greater percentage of mean excess weight loss than did the LAGB patients (69±29% versus 46±27%; P = .03).Conclusion LRYGB was superior to LAGB in term of excess weight loss results (76.2% versus 46.2%) at 10 years. However, LRYGB exposes patients to higher early complication rates than LAGB (8.3% versus 0%) and potentially lethal long-term surgical complications (internal hernia and bowel obstruction rate: 4.7%).
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“Four studies with a follow-up of at least 5 years were identified. Port-related and band-related complications were documented for 18%, 23%, 27% and 43% of patients [78, 80, 85, 89].”
In the citing paper
“Re-interventions for insufficient weight loss were reported by 3 studies at follow-up > 5 years, and documented for 6%, 12% and 18% of patients [78, 80, 85].”
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Cites
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Body-Mass Index and Mortality in a Prospective Cohort of U.S. Adults
Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath, C. W. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910073411501 · Cited by 3,643
Laparoscopic Versus Open Gastric Bypass: A Randomized Study of Outcomes, Quality of Life, and Costs
Nguyen, N. T., Goldman, C. D., Rosenquist, C. J., Arango, A., Cole, C., Lee, S. J., & Wolfe, B. M. (2001) · Annals of Surgery · doi:10.1097/00000658-200109000-00002 · Cited by 1,039
Mason, E. E., & Ito, C. (1967) · Surgical Clinics of North America · doi:10.1016/s0039-6109(16)38384-0 · Cited by 927
Body Mass Index and Mortality in a Prospective Cohort of US Adults
Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath, C. (2000) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200003000-00010 · Cited by 918
Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases
Wittgrove, A. C., Clark, G. W., & Tremblay, L. J. (1994) · Obesity Surgery · doi:10.1381/096089294765558331 · Cited by 874
Wittgrove, A. C., & Clark, G. W. (2000) · Obesity Surgery · doi:10.1381/096089200321643511 · Cited by 867
Weight Gain After Short- and Long-Limb Gastric Bypass in Patients Followed for Longer Than 10 Years
Christou, N. V., Look, D., & MacLean, L. D. (2006) · Annals of Surgery · doi:10.1097/01.sla.0000217592.04061.d5 · Cited by 727
Results of 281 Consecutive Total Laparoscopic Roux-en-Y Gastric Bypasses to Treat Morbid Obesity
DeMaria, E. J., Sugerman, H. J., Kellum, J. M., Meador, J. G., & Wolfe, L. G. (2002) · Annals of Surgery · doi:10.1097/00000658-200205000-00005 · Cited by 561
Suter, M., Calmes, J., Paroz, A., & Giusti, V. (2006) · Obesity Surgery · doi:10.1381/096089206777822359 · Cited by 451
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Items 101–107 of 107
Prinzipien und Ziele der bariatrischen Chirurgie
Patrzyk, M., Karcz, W. K., Frank, A., & Keßler, W. (2022) · Springer Reference Medizin · doi:10.1007/978-3-662-61724-3_100-1
Bariatric Surgery and Metabolic Syndrome
Misra, S., & Narwaria, M. (2024) · Advances in biochemistry in health and disease · doi:10.1007/978-3-031-75686-3_25
Weight Recurrence and Metabolic and Bariatric Surgery: Definition, Evaluation, and Implications
Jalloh, K., & Altieri, M. S. (2024) · Springer eBooks · doi:10.1007/978-3-031-72309-4_38
Management of LAGB Complications: Reflux, Band Erosion, and Dilated Esophagus
Felinski, M. M., Harmouch, M. A., Bajwa, K. S., Wilson, E. B., & Shah, S. K. (2024) · Springer eBooks · doi:10.1007/978-3-031-70004-0_23
Writing Task Force iCARDIO-Alliance (2025) · Global Cardiology · doi:10.4081/cardio.2025.71
Neira, G., Rodríguez, A., Gómez‐Ambrosi, J., Frühbeck, G., & Catalán, V. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-13825-6.00347-2
iCARDIO Alliance Global Implementation Guidelines for the Management of Obesity 2025
Anker, S. D., Ji, L., Kindel, T. L., Coats, A. J. S., Ojji, D. B., Puente-Barragán, A., Rossing, P., Zieroth, S. R., Ahmad, S., Usman, S., et al. (2026) · International Journal of Cardiovascular Sciences · doi:10.36660/ijcs.20260056
Metadata
- Authors
- Angrisani, L., Cutolo, P. P., Formisano, G., Nosso, G., & Vitolo, G.
- Affiliations
- Federico II University Hospital (IT)
- Corresponding author
- Angrisani, Luigi
- Venue
- Surgery for Obesity and Related Diseases
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 9
- Issue
- 3
- Pages
- 405-413
- ISSN
- 1550-7289 (ISSN-L)
- OpenAlex
- W2963595971
- Cited by
- 107
- References
- 39
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 9 · 2019: 3 · 2018: 15 · 2017: 12 · 2016: 10 · 2015: 13 · 2014: 9 · 2013: 5
- FWCI
- 12.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Surgery for Obesity and Related Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Postoperative Complications, Prospective Studies, Reoperation, Gastric Bypass, Gastroplasty, Weight Loss, Body Mass Index, Young Adult
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