What are the percentages of the banding migrating into the stomach/gastric region?
Nearly 1 in 5 Older Gastric Band Patients Require Reoperation — Physician’s First Watch
Nearly 1 in 5 Older Gastric Band Patients Require Reoperation
By Amy Orciari Herman
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."