Laparoscopic gastric band surgery leads to more surgeries

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Takeaway

  • Laparoscopic adjustable gastric band placement surgery has a high rate of reoperation, which is costly to the Medicare system.

Why this matters

  • Clinicians should counsel patients on Medicare about risks of this surgery and alternative bariatric surgeries.

Key results

 

  • 18.5% of patients had reoperation in 4.5 years at an average of 3.8 (median 2.5) procedures per patient in addition to initial operation.
  • Patients who did not have reoperation were more likely to be male (P < .001), white (P < .007), have lower rights of hypertension (P < .001), and diabetes (P < .001).
  • Patients who did not have reoperation were more likely to have their initial operation at nonprofit or teaching hospitals (P < .01 for both).
  • Medicare paid $470 million for procedures, of which 47.6% of payments were for reoperation.

 

Study design

 

  • Retrospective study of 25,042 gastric band recipients on Medicare.
  • Outcome measures: rate of reoperation and...