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Results of Silastic Ring Vertical Banded Gastroplasty Operations

6 Year Outcome of Vertical Banding Obesity Surgery

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Results of Silastic Ring Vertical Banded Gastroplasty

Among the different techniques of surgical treatment for morbid obesity, silastic ring vertical gastroplasty (SRVG) is an alternative, effective and easily reproducible technique. The aim of this study is to evaluate a cohort of patients >6 years after SRVG for morbid obesity.

Method

From 1991 to 1996, 273 consecutive patients were eligible for silastic ring vertical gastroplasty. The evaluation criteria included weight loss, evolution of co-morbidities, long-term morbidities, satisfaction of patients and quality of life.

Results

Among these 273 patients, 1 patient died in the postoperative period (0.4%). Postoperative morbidities occured in 27 patients (10%). The long-term follow-up involved 213 patients (78%). Late postoperative complications consisted of outlet stoma stenosis (14%), staple-line dehiscence (5.6%) and incisional hernia (8.5%). 23 patients (10%) needed a re-do operation. Co-morbidities drastically improved. BMI fell from 45.3 to 30.7. Failure of SRVG was statistically associated with male gender and super-obese patients. 69% of the patients were satisfied, and 73% would recommend this operation.

Conclusion

Silastic ring vertical gastroplasty is very effective in a selected group of morbidly obese patients.

Authors:
Closset J, Mehdi A, Barea M, Buedts K, Gelin M, Houben JJ. Medicosurgical Department of Gastroenterology, Erasmus Hospital, Free University of Brussels, Brussels, Belgium.

Source:
National Library of Medicine

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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. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL