| Bariatric Surgery.info Research Into Vertical Banded Gastroplasty to Reduce Clinical Obesity |
Non-adjustable restrictive gastric banding
& stapling procedure |
Research Into Vertical Banded GastroplastyVertical 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 BandingIn 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. Biliopancreatic
Bypass
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