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 .
Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period.
BACKGROUND Laparoscopic adjustable gastric b and ing ( LAGB ) is a common bariatric surgery . Although it is a safe and effective method of weight reduction in short term , it may result in some problems in long term . The purpose of this study was to investigate the consequences of LAGB in long term among morbid obese patients . METHODS In this prospect i ve study , 80 patients underwent LAGB using pars flaccida technique from 2001 to 2006 . Long-term postoperative consequences and complications of these patients were recorded . RESULTS The preoperative mean values of weight and body mass index were 125.5 ± 22.5 kg and 44.5 ± 6.5 kg/m(2 ) , respectively . Over the 13-year follow-up period , 56 patients ( 84.8 % ) experienced at least one complication . The most common complications were b and erosion ( 20 patients ) and weight regains ( 13 patients ) . Fifty-one patients ( 78.5 % ) required reoperation . The b and of 48 patients ( 72.7 % ) was removed ; of these , twenty patients ( 30.3 % ) underwent other bariatric surgeries . Percent of excess weight loss was 47.1 % ± 30.1 % , and the success rate was 48.7 % . CONCLUSIONS LAGB is a successful method with low complications in short term ; however , over long term , it results in various complications
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 .