Weight Loss Surgery Reoperations for Gastric Restriction
Bariatric Study of Vertical Banded Gastroplasty Revision Operations
| Bariatric Surgery information Weight Loss Surgery Reoperations for Gastric Restriction |
Bariatric Study of Vertical Banded Gastroplasty Revision Operations |
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Weight Loss Surgery Information - Bariatric Research Studies |
Weight Loss Surgery Reoperations60 re-operations on 890 patients after gastric restrictive surgery Since 1988 we performed gastric restriction operations on 890 patients; 60 required subsequent re-operation. Method The Molina non-adjustable band was discontinued early because of a high percentage of re-operations. Between 1992 and 1995, we performed the Mason vertical banded gastroplasty (VBG) using a 9-cm long vertical staple-line, with a re-operation rate of 15%. Since 1996, we have been performing a 6-cm long vertical staple-line, with a re-operation rate of 0.7%. The MacLean vertical banded gastroplasty also had a low re-operation rate (0.9%), but the seriousness of its most dangerous complication, perioperative cardia fistula, limited our use of this method to specifically selected cases. With adjustable banding, we have used the Swedish band which produced a low re-operation rate (2.1%), consisting of relatively simple corrective procedures. Results The re-operations produced results similar to those of first-time operations in terms of weight loss and nutritional status. In particular, after 3 years, re-operated patients had similar weight to those who had been operated upon with the same method initially. Conclusion When the surgical procedure was selected with greater astuteness and modified appropriately, the re-operation rate decreased from 17% in the period 1992 to 1995, to 1% in the period 1996 to 2000. Source: Bariatric Weight Loss Surgery |