Nearly 1 in 5 Older Gastric Band Patients Require Reoperation — Physician’s First Watch

Medical News |
May 18, 2017

Nearly 1 in 5 Older Gastric Band Patients Require Reoperation

By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

Nearly one in five Medicare beneficiaries who undergo laparoscopic gastric banding end up needing an additional band-related surgery, according to a retrospective study in JAMA Surgery.

Using Medicare claims data, researchers studied some 25,000 adults who underwent gastric band surgery from 2006 through 2013. During an average follow-up of 4.5 years, 19% of patients underwent reoperations (for band removal or replacement or to switch to a different bariatric procedure); there were roughly four reoperations per patient.

Reoperation rates varied widely across hospital referral regions, ranging from 5% to 96%. Medicare payments averaged $12,000 for each initial band placement and $20,000 for each reoperation.

The researchers conclude, "These findings suggest that payers should reconsider their coverage of the gastric band device." A commentator disagrees, saying: "I ... feel that this device still has a role, albeit limited in the modern bariatric surgical program. Many patients do well for a long period."

Reader Comments (1)

Alicia Haske Nurse/NP/PA, Other, U.S. Dept. of Veterans Affairs

What are the percentages of the banding migrating into the stomach/gastric region?

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.