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The Band Must Not Be Abandoned
Wendy A Brown1, Paul E O'Brien2
1Centre for Obesity Research and Education, Department of Surgery, Alfred Hospital, Monash University, Melbourne, 3004, Australia. Wendy.Brown@monash.edu.
Obesity Surgery
|March 8, 2017
Summary
Laparoscopic adjustable gastric banding (LAGB) is a safe and effective bariatric surgery option declining in use. This communication explores reasons why surgeons are abandoning this valuable weight-loss procedure.
Area of Science:
- Bariatric Surgery
- Surgical Innovation
- Obesity Treatment
Background:
- Laparoscopic adjustable gastric banding (LAGB) is a safe, effective, and durable bariatric procedure.
- Despite evidence, LAGB use is declining globally.
- Less than 1% of eligible obese individuals undergo bariatric surgery.
Purpose of the Study:
- To explore the reasons behind the declining use of LAGB.
- To identify potential drivers causing surgeons to abandon the gastric band.
- To discuss the role of LAGB as a therapeutic option between medical and more aggressive surgical interventions.
Main Methods:
- This is a brief communication discussing potential drivers.
- Analysis of factors influencing surgical practice trends in bariatric surgery.
- Review of the current landscape of obesity treatment options.
Main Results:
- The use of LAGB is decreasing worldwide.
- Surgeons appear to be moving away from the gastric band procedure.
- There is a need for a range of bariatric options, including LAGB.
Conclusions:
- The decline in LAGB use warrants investigation.
- Understanding the drivers is crucial for improving bariatric surgery uptake.
- LAGB remains a viable option when appropriately supported and can be revised.
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