{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T03:06:42Z","timestamp":1789096002203,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Laparoscopic adjustable gastric banding (LAGB) was once a widely adopted bariatric procedure due to its reversibility and minimally invasive nature. However, concerns about long-term complications, particularly intragastric migration and slippage, have led to a decline in its use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective review of 411 patients who underwent LAGB between 2002 and 2010 at a tertiary care center. Data on demographics, complication rates, time to onset, and management strategies were analyzed. Follow-up data were available for 178 patients over a 15-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Band migration was diagnosed in 33 patients (18.5%), with a median detection time of 74 months post-implantation. Most cases (54.5%) were diagnosed between 6 and 10 years postoperatively. Common clinical presentations included weight regain (45.4%) and port-site infection with fever (33.3%), while 21.2% were asymptomatic. Surgical removal was performed in all migration cases, with a laparoscopic approach successfully used in 84.8%. Conversion to open surgery was necessary in 2 patients, and primary laparotomy was used in 3 early cases. Band slippage occurred in 10.7% of patients, with 63.2% requiring surgical intervention. Postoperative complications were minimal and managed conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings confirm that LAGB is associated with a significant long-term risk of complications, particularly band migration, which may occur more than a decade postoperatively. Long-term follow-up is essential, and routine upper GI imaging should be considered in all patients with LAGB, especially in those presenting with port-site infections. These results highlight the importance of individualized management and long-term vigilance in patients undergoing LAGB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429251384810","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T14:03:02Z","timestamp":1759154582000},"page":"819-823","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Gastric Band after 15 Years: Migration Rates and Management"],"prefix":"10.1177","volume":"35","author":[{"given":"Niculae","family":"Iordache","sequence":"first","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Bucharest, Romania."},{"name":"General Surgery Department, \u201cSf. Ioan\u201d Clinical Emergency Hospital, Bucharest, Romania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleh","family":"Abujamra","sequence":"additional","affiliation":[{"name":"Almergib University, Alkhoms, Libya."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamaria","family":"Nedelcu","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Saint Michel, Toulon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Octav","family":"Ginghina","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Bucharest, Romania."},{"name":"Department of Surgery, Prof. Dr. Alexandru Trestioreanu Oncological Institute, Bucharest, Romania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razvan Andrei","family":"Stoica","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Bucharest, Romania."},{"name":"General Surgery Department, \u201cSf. Ioan\u201d Clinical Emergency Hospital, Bucharest, Romania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Vilallonga","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Saint Michel, Toulon, France."},{"name":"Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Vall d\u2019Hebron, Barcelona, Spain."},{"name":"Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius","family":"Nedelcu","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Bouchard, Marseille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(03)00392-1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0557"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-017-1624-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2013.07.015"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089202321087922"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9672-y"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-011-0468-0"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.45"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12020617"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sle.0000148471.59299.26"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1381\/09608920160558632"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1916-6"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-011-0430-1"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2009.09.016"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0899-z"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2566-z"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089206777822359"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.184.1.01840109"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2008.03.248"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429251384810","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251384810","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251384810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:01:00Z","timestamp":1777694460000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429251384810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,1]]}},"alternative-id":["10.1177\/10926429251384810"],"URL":"https:\/\/doi.org\/10.1177\/10926429251384810","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]}}}