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Although ring-augmented LSG reportedly improves long-term weight-loss outcomes, some are concerned about potential complications related to the foreign body. Therefore, this study aimed to examine 2 years of follow-up of banded sleeve with the patient\u2019s own tissue, naturally banded LSG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective randomized controlled clinical trial enrolled 80 patients. It was conducted at a university hospital between November 2022 and January 2025. Patients were randomly assigned to two equal groups: Group 1, LSG plus banding using the Teres ligament or a tight omental flap, and Group 2, LSG without banding. Patients were followed up for at least 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean follow-up period was 25.5 months. At 2 years, the mean gastric volume was significantly smaller in Group 1 (142.3 mL) than in Group 2 (218.7 mL,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.000). Additionally, the mean percentage of excess weight loss (%EWL) was significantly higher in Group 1 (87.0%) than in Group 2 (81.8%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.000). Moreover, the mean percentage of total weight loss (%TWL) was significantly higher in Group 1 (42.0%) than in Group 2 (38.0%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.034). Finally, the mean food tolerance score was significantly lower in Group 1 (21.5) than in Group 2 (22.9,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.000).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on 2 years of follow-up, LSG with natural banding was associated with minimal gastric pouch dilatation and greater weight loss than non-banded LSG. However, long-term follow-up data are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08567-8","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:39:25Z","timestamp":1775479165000},"page":"2180-2190","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Naturally Banded Sleeve Gastrectomy Vs Non-Banded Sleeve Gastrectomy, Two Years Follow up, Controlled Clinical Trial"],"prefix":"10.1007","volume":"36","author":[{"given":"Alaa M","family":"Sewefy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer E","family":"Esmaeel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M","family":"Kamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"issue":"15","key":"8567_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000032982","volume":"102","author":"MA Chaouch","year":"2023","unstructured":"Chaouch MA, Yang W, Gouader A, Krimi B, da Carneiro Costa A, et al. 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