Update on Treatment of Morbid Obesity with Adjustable Gastric Banding.

Laparoscopic adjustable gastric banding (LAGB) is considered the simplest of the bariatric operations. Although studies have confirmed the effectiveness of the LAGB in terms of weight loss and resolution of comorbidities, concerns have developed over its long-term efficacy and safety. Reports have described a high incidence of complications and need for reintervention. These reports and the availability of other effective and well-tolerated procedures have determined a significant decrease in the number of LAGBs performed. This article reviews key historic milestones, fundamental changes in the design and technique, and potential reasons that determined a quick rise and a progressive fall of LAGB's popularity.