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 .
Long-term outcome of laparoscopic adjustable gastric banding (LAGB): results of a Swiss single-center study of 405 patients with up to 18 years' follow-up.
BACKGROUND In the past , laparoscopic adjustable gastric b and ing ( LAGB ) seemed to be a promising bariatric procedure . However , many studies showed high rates of reoperation due to complications or insufficient weight loss . There is a lack of long-term studies with follow-up beyond 15 years . OBJECTIVE To conduct long-term follow-up of patients after LAGB and analyze their weight loss as a primary endpoint . SETTING Tertiary referral center for bariatric surgery , St. Claraspital , Switzerl and . METHODS A retrospective analysis of prospect ively collected clinical data in a cohort of 405 patients having undergone LAGB  was performed . RESULTS A total of 405 patients ( age 41±10 years , body mass index [ BMI ] 44.3±6 kg/m2 ) were treated with LAGB between 1996 and 2010 . Mean follow-up was 13±3 years , with a follow-up rate of 85 % ( range 8 - 18 years ) , corresponding to 343 patients . One hundred patients exceeded 15-year follow-up . In 216 patients ( 63 % ) , sleeve gastrectomy , gastric bypass , or biliopancreatic diversion with duodenal switch was performed as revisional surgery . Twenty-seven patients ( 8 % ) refused revisional surgery after b and removal . Finally , 100 patients ( 29 % ) still have the b and in place , with a mean BMI of 35±7 kg/m2 , corresponding to an excess BMI loss of 48±27 % . Among these , the failure rate was 25 % , according to the Bariatric Analysis and Reporting Outcome System ( BAROS ) ; 50 % had a good to excellent outcome . CONCLUSION More than 10 years after LAGB , 71 % of patients lost their b and s and only 15 % of the 343 followed patients with the b and in place have a good to excellent result , according to BAROS
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 .