{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:14:39Z","timestamp":1788347679699,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The long\u2010term clinical role of laparoscopic adjustable gastric banding (LAGB) remains uncertain in the contemporary era of metabolic surgery, and very long\u2010term outcome data from Asian populations are limited. This study evaluated very long\u2010term outcomes of LAGB in a Japanese cohort, focusing on weight change, metabolic comorbidities, and reoperations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive patients who underwent LAGB between 2005 and 2010 at a single institution. Changes in body weight, metabolic comorbidities, and reoperation were assessed for up to 15\u2009years. Weight outcomes were evaluated using percent total weight loss (%TWL) and percent excess weight loss (%EWL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 28 patients were included. Mean %EWL was 49% at 1\u2009year, 62% at 5\u2009years, 64% at 10\u2009years, and 59% at 15\u2009years, indicating sustained long\u2010term weight reduction despite partial weight regain. Early improvements in metabolic comorbidities were observed; however, recurrence of diabetes mellitus, hypertension, and dyslipidemia increased after 5\u201310\u2009years, whereas hepatic comorbidities remained relatively stable. Reoperation was required in 7 of 28 patients (25%), mainly because of device\u2010related complications or insufficient weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides very long\u2010term outcome data of LAGB in an Asian cohort. Although LAGB achieved sustained weight reduction in selected patients, metabolic improvements showed limited long\u2010term durability and a substantial proportion of patients required reoperation. These findings highlight the limitations of a purely restrictive and device\u2010dependent bariatric procedure in the contemporary era of metabolic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.70244","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:52:58Z","timestamp":1783551178000},"page":"1655-1662","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Very Long\u2010Term Outcomes of Laparoscopic Adjustable Gastric Banding in a Japanese Cohort: A Single\u2010Center 15\u2010Year Follow\u2010Up Study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8792-4067","authenticated-orcid":false,"given":"Yuichi","family":"Endo","sequence":"first","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"},{"name":"Obesity and Diabetes Center for Advanced Medicine, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroomi","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"},{"name":"Obesity and Diabetes Center for Advanced Medicine, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Miyoshino","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1151-259X","authenticated-orcid":false,"given":"Yuiko","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Masuda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0252-0494","authenticated-orcid":false,"given":"Teijiro","family":"Hirashita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Ozeki","sequence":"additional","affiliation":[{"name":"Obesity and Diabetes Center for Advanced Medicine, Faculty of Medicine Oita University  Yufu Oita Japan"},{"name":"Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Masaki","sequence":"additional","affiliation":[{"name":"Obesity and Diabetes Center for Advanced Medicine, Faculty of Medicine Oita University  Yufu Oita Japan"},{"name":"Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Shibata","sequence":"additional","affiliation":[{"name":"Obesity and Diabetes Center for Advanced Medicine, Faculty of Medicine Oita University  Yufu Oita Japan"},{"name":"Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Faculty of Medicine Oita University  Yufu Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Inomata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine Oita University  Yufu Oita 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