Wedge Resection of the Gastric Fundus Avoids Time-consuming and Difficult Gastro-gastrostomy Window

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Technical Modification of Laparoscopic Mason-MacLean Vertical Banded Gastroplasty Operation

Technical improvements of laparoscopic bariatric procedures are important to minimize operative time and increase safety and simplicity.

Method

A modification is described of the "classic" Mason-MacLean vertical banded gastroplasty (VBG), performed by laparoscopy, with wedge resection of the gastric fundus, thus avoiding the time-consuming and technically difficult gastro-gastrostomy window.

Results

The technique used was simple and safe, and required less operative time than the "classic" method, without serious
intra- or postoperative complications. Weight loss in 18 patients who underwent the modified laparoscopic vertical banded gastroplasty and were followed-up for 1 year was equal to that achieved in patients who underwent open VBG at our Institution. Gastro-gastric fistula was not observed in upper GI barium studies performed 12 months postoperatively.

Conclusion

The modified technique is preferable when laparoscopic vertical banded gastroplasty is indicated for surgical treatment of morbidly obese patients.

Source:
Melissas J, Schoretsanitis G, Grammatikakis J, Tsiftsis DD. Bariatric Unit, Department of Surgical Oncology, Medical School, University of Crete, Greece. 2003

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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