Retired Programs
As we continuously review our content, we have made the decision to retire the following UpToDate Patient Engagement programs on February 26, 2025:
UpToDate Engage Programs:
- Lap-Band Surgery (63)
- Lap-Band Adjustments (93)
- Lap-Band First 4-6 weeks Post-op (94)
- Lap-Band 6 Months Post-op (97)
- Gastric Banding (Adjustable) (204)
- Breast Augmentation with Silicone Gel-Filled Implants (106)
- Medication History – Provider (154)
UpToDate Educate Programs:
- Lap-Band Surgery and Your Digestive System: Overview (32222)
- What Happens During Lap-Band Surgery?: Overview (32221)
- How Does Gastric Banding Work?: Overview (32243)
- What Happens During a Gastric Banding Procedure?: Overview (32244)
- What Happens During a Breast Augmentation with Silicone Gel-Filled Implants?: Overview (32513)
Please discontinue all retired program codes by February 26, 2025. We suggest the following program replacements:
Gastric Banding and Lap-Band programs:
- Replacement Program: Bariatric Informed Decision Making (105)
Breast Augmentation with Silicone Gel-Filled Implants (106):
- Replacement Program: Breast Augmentation with Silicone or Saline Filled Implants (43)
What Happens During a Breast Augmentation with Silicone Gel-Filled Implants?: Overview (32513):
- Replacement Program: What Happens During a Breast Augmentation With Saline or Silicone-Filled Implants?: Overview (32464)
Medication History - Provider (154):
- Replacement Program: Medication History- Patient (153)
Our rationale for this update:
- Supports harmonization efforts between clinical topics and patient education.
- Per UpToDate clinical topic, “Laparoscopic adjustable gastric banding (LAGB) is now infrequently performed, comprising about 1 percent of all bariatric procedures in the United States [23].”
- “Late (>30 days) complication rate is high (>25 percent) [84-89]. Almost 50 percent of patients will need surgical revision or removal of the band [90]”
- Guidelines from the American Society for Metabolic and Bariatric Surgery recommend Roux-en-Y gastric bypass (RYGP) and sleeve gastrectomy as the preferred procedures for bariatric surgery.
- From the American Society for Metabolic and Bariatric Surgery Consensus report 2024: Almost all bariatric surgeons on an expert panel disagreed with the statement: “Reversible procedures such as gastric banding are preferred to irreversible procedures like sleeve gastrectomy” (in sum; almost all bariatric surgeons on an expert panel agree that irreversible procedures like sleeve gastrectomy are preferable to gastric banding).
