Reoperations were common in all groups .
Reoperation rate was initially high but reduced markedly with improved b and and surgical and aftercare techniques .
Conclusion All current procedures are associated with substantial and durable weight loss .
More long-term data are needed for one-anastomosis gastric bypass and sleeve gastrectomy  .
Reoperation is likely to remain common across all procedures
Introduction Durability is a key requirement for the broad acceptance of bariatric surgery .
15-year follow-up of vertical banded gastroplasty: comparison with other restrictive procedures
Abstract Introduction Vertical b and ed gastroplasty ( VBG ) has been the procedure of choice for bariatric surgeries since the 1980s . However , long-term results of VBG have been reported with different opinions , and new restrictive procedures have been innovated and showing variable results . The aim of this study is to analyze the long-term results of our VBG patients .Patient and methods Between June 1998 and May 2002 , 652 morbidly obese patients received VBG , with the initial 40 patients having open procedures and the subsequent 612 patients using a laparoscopic approach .  Operative complications , weight loss , and late complications were followed and compared with groups of laparoscopic adjustable gastric b and ing ( LAGB ) and sleeve gastrectomy ( LSG ) . Results Mean age , preoperative weight , and body mass index ( BMI ) were 30.96 years , 108.83 kg , and 40.63 kg/m2 , respectively . The overall early postoperative complication rate was 3.4 % ( 22/652 ) . The excess weight loss percentages at 1 , 2 , 5 , and 10 years were 61.04 , 59.70 , 51.11 , and 42.0 % , respectively . BMI at 1 , 2 , 5 , and 10 years were 29.64 , 29.71 , 31.33 , and 31.73 kg/m2 , respectively . This result is inferior to the 67 % excess weight loss in the LSG group , but is higher than the 38 % excess weight loss of the LAGB group . The revision rate is 13.19 % ( 86/652 ) up to now . Revision surgery was required in 28 ( 14.0 % ) patients in the LAGB group and 8 ( 1.3 % ) in the LSG group . Conclusion VBG was an operation with acceptable outcome for treating morbid obesity and metabolic disorders . It sets a st and ard for new restrictive procedures
Reoperations were common in all groups .
Reoperation rate was initially high but reduced markedly with improved b and and surgical and aftercare techniques .
Conclusion All current procedures are associated with substantial and durable weight loss .
More long-term data are needed for one-anastomosis gastric bypass and sleeve gastrectomy  .
Reoperation is likely to remain common across all procedures
Introduction Durability is a key requirement for the broad acceptance of bariatric surgery .