Résultats d'un suivi à long terme de la gastroplastie par anneau gastrique ajustable sur une cohorte de 186 patients avec un IMC supérieur ou égal à 50 kg/m2

Laparoscopic gastroplasty using the adjustable gastric band appeared to be a very promising intervention for super-obese patients when the results at 2 years were analyzed-fairly simple to perform, with perioperative morbidity and mortality near zero. However, these results do not persist in the long-term for super-obese patients. At 10 years, only 11% of patients (nine of 80) have successful bariatric results (%EWL > 50%) and we were forced to remove the gastric band in 52.2% of patients (47 of 90) because of complications, regardless of the initial operative technique used. Given these results, AGB gastroplasty is not a recommended method for super-obese patients and we believe that a BMI greater or equal to 50 kg/m2 is a contraindication for this procedure.