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A Journal on Surgery

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Chirurgia 1999 April;12(2):93-100

language: Italian

The role of vertical banded gastroplasty in the treatment of morbid obesity. Experience with 400 consecutive patients

Paradiso D., Cariani S., Imperio M., Nottola D., Mele A., Rescina F., Grani S., Amenta E.


Methods. From January 1991 to June 1997, 400 consecutive patients underwent vertical banded gastroplasty (VBG) for morbid obesity (61 male, 106 superobese with a BMI >50 kg/m2) with some modifications to prevent stomal stenosis and staple line disruption (calibration of the band, use of gore-tex 0,6 mm thick, application of 2/0 dacron stitches at the extremity of the vertical staple line).
Results. Operative mortality was zero; cumulative morbidity was 29% but only 3.35% was due to technical failure (staple line disruption, n=6; food impaction, n=5; stoma angulation n=1). The weight loss (% excess body weight) was 33% at 1 year; 31% at 2 years; 35% at 3 years and 41% at 4 years. Assessment of weight loss according to the Reinhold classification shows an increase of poor results from 2 to 8% 4 years after VBG.
Conclusions. Vertical banded gastroplasty gives good results in terms of weight loss with a low incidence of complications but preoperative selection is extremely important. Those patients not likely to have a good result with VBG should be considered for other procedure such as long limb gastric bypass or biliopancreatic diversion.

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