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Research Into Vertical Banded Gastroplasty to Reduce Clinical Obesity

Non-adjustable restrictive gastric banding & stapling procedure
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Research Into Vertical Banded Gastroplasty

Vertical banded gastroplasty (VBG) is a purely non-adjustable restrictive procedure and, recently, has been performed laparoscopically. In this procedure the upper stomach near the oesophagus is stapled vertically for about 2.5 in. (6 cm) to create a smaller stomach pouch. The outlet from the pouch is restricted by a band or ring that slows the emptying of the food and thus creates the feeling of fullness. Moreover, MacLean and colleagues reported staple-line perforations in 48% of patients, of whom 36% underwent re-operation. Preliminary experiences are encouraging but the long-term results of VBG are disappointing when assessed by the standard criteria.

Vertical Banded Gastroplasty Versus Adjustable Gastric Banding

In a prospective non-randomized 9-year follow-up study we could demonstrate an advantage of the adjustable restrictive procedure, namely the adjustable gastric band (AGB). The overall re-intervention rate for long-term complications in 1,011 patients was 15.6% for the VBG and 7% for the AGB group. No statistically significant difference in outcome in terms of weight loss, reduction of co-morbidity and improvement in quality of life following AGB or VBG was observed. VBG was performed from 1977 but, therefore, was abandoned by our institute in 2001.

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Vertical Banded Gastroplasty

Sources:
Hess DW, Hess DS (1994) Laparoscopic vertical banded gastroplasty with complete transection of the staple-line. Obesity Surgery 4:44–46
Natalini G, Breccolotto F, Carloni G, Calzoni L (1999) Laparoscopic adjustable vertical banded gastroplasty: a new method for treatment of morbid obesity: preliminary experience. Obesity Surgery 9:55–56
MacLean LD, Rhode BM, Forse RA (1990) Late results of vertical banded gastroplasty for morbid and super obesity. Surgery 107:20–27
Verselewel de Witt Hamer PC, Hunfeld MA, Tuinebreijer WE (1999) Obesity surgery: discouraging long term results with Masons vertical banded gastroplasty. Eur J Surg 165:855–860
Miller K, Höller E, Hell E (2002) Restrictive procedures in the treatment of morbid obesity—vertical banded gastroplasty vs adjustable gastric banding. Zentralbl Chir127:1038–1042
International Federation For The Surgery of Obesity

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources