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 .
Fourteen-Year Long-Term Results after Gastric Banding
Background . Gastric b and ing ( GB ) is a common bariatric procedure that is performed worldwide . Weight loss can be substantial after this procedure , but it is not sufficient in a significant portion of patients . Long-term rates for associated complications increase with every year of follow up , and only a few long-term studies have been published that examine these rates . We present our results after 14 years of postoperative follow up . Methods . Two hundred patients were operated upon form 01.02.1995 to 31.01.2009 . Data collection was performed prospect ively . In retrospective analysis , we analyzed weight loss , short- and long-term complications , amelioration of comorbidities and long-term outcome . Results . The mean postoperative follow up time was 94.4 months ( range 2–144 ) . The follow up rate was 83.5 % . The incidence of postoperative complications for slippage was 2.5 % , for pouch dilatation was 9.5 % , for b and migration was 5.5 % and 12.0 % for overall b and removal . After 14 years , the reoperation rate was 30.5 % with a reoperation rate of 2.2 % for every year of follow up . Excess weight loss was 40.2 % after 1 year , 46.3 % after 2 years , 45.9 % after 3 years , 41.9 % after five years , 33.3 % after 8 years , 30.8 % after 10 years , 33.3 % after 12 years and 15.6 % after 14 years of follow up . Conclusion . The complication and reoperation rate after GB is high . Nevertheless , GB is still a therapeutic option in morbid obese patients , but the criteria for patient selection should be carefully evaluated
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 .