What is the most common long-term complication of laparoscopic adjustable gastric banding (LAGB)?

The most common long-term complication of laparoscopic adjustable gastric banding (LAGB) is the need for removal or revision of the band. This complication arises from several factors related to the adjustable gastric band's functionality and impact on patient health over time.

LAGB involves placing an inflatable band around the upper part of the stomach to create a small pouch, which limits food intake and promotes satiety. However, over time, patients may experience complications such as band slippage, erosion into the stomach wall, or insufficient weight loss, all of which can necessitate surgery for removal or revision. These issues can result from technical factors, patient adherence, and anatomical changes, making it essential for healthcare providers to monitor patients regularly.

In contrast, excessive weight regain, while a common issue post-gastric banding, is often a result of band-related complications or patient factors rather than a primary indication that surgical intervention is needed. Gastroesophageal reflux disease can occur but is not as prevalent as the need for revision or removal. Nutritional deficiencies are potential issues with any bariatric surgery but are less commonly associated with LAGB compared to other procedures like gastric bypass. Thus, the need for band removal or revision stands out as the most significant long