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Maintaining results depends on lifelong lifestyle adherence and follow-up.","revision_rate_pct":{"min":10,"max":40,"unit":"percent","qualifier":"Reoperation, repositioning, conversion or band removal over 5-10 years; increases with longer follow-up."},"scars":"Several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen, plus a slightly larger one for the subcutaneous port; usually fade well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure for band placement; subsequent band adjustments are follow-up care."},"stages":[{"code":"band_placement","label":"Laparoscopic band placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery."},"success":{"metric":"Excess weight loss","value":45,"unit":"percent of excess weight","horizon":"2-3 years","population":"Adults with obesity, BMI 35+, adherent to diet and band adjustments","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic adjustable gastric banding (pars flaccida technique)","suits_whom":"Adults meeting obesity criteria who are motivated for long-term follow-up and adjustments.","recovery":"Usually 0-1 night in hospital and return to light activity within 1-2 weeks."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operative time for laparoscopic adjustable gastric band placement."},"initial_assessment_documents":["Recent blood tests including HbA1c","Previous abdominal surgery reports","Current medication list","Upper GI endoscopy or contrast study report","ECG or cardiology report (if available)","Sleep study report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; 3-7 day stay, 0-1 hospital nights. Adjustments at 4-6 weeks done locally or on second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that communication with the bariatric surgeon is available, because it is essential for timely care after a band","scope":"procedure","source":{"url":"https://www.aafp.org/pubs/afp/issues/2014/0515/p813.html","host":"aafp.org","quote":"Consultation and communication with the bariatric surgeon are essential for timely care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the facility is an accredited institution, preferably a bariatric center of excellence","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism","host":"asmbs.org","quote":"Patients should undergo procedures at an accredited JCI institution or preferably a bariatric center of excellence.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical 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