Bariatric analysis and reporting outcome system (BAROS) following laparoscopic adjustable gastric banding in Finland

Background: The reporting on outcome following bariatric procedures should include changes in comorbid conditions and quality of life (QOL), in addition to weight loss. The Bariatric Analysis and Reporting Outcome System (BAROS) appears to provide the means to fulfil these requests. We have re-evaluated our previously published, initial results of laparoscopic adjustable gastric banding, using BAROS. Methods: Our first 60 consecutive patients were treated laparoscopically between the years 1996 and 1999, using the Swedish Adjustable Gastric Band (SAGB). After a minimum follow-up of greater than or equal to 17 months (median follow-up 28 months, range 17-61 months), a postal questionnaire concerning QOL, medical condition and excess weight loss (BAROS) was sent to the patients. In addition, the patients' opinion regarding the operation was evaluated as well as the extent that the band had caused the patients any of the more common side-effects. Results: 87% of the patients returned the questionnaire properly answered. According to BAROS, the outcome was regarded as VERY GOOD in 12% of patients, GOOD in 38%, FAIR in 29% and FAILURE in 21%. Not one had an EXCELLENT outcome. 23% of the patients were disappointed with their operation. The incidence of band-related side-effects was high. Conclusion: Our results are comparable with other published series including the learning curve. In our opinion, BAROS should be widely adopted.