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Dietary changes after vertical banded gastroplasty
S Kriwanek1, W Blauensteiner, E Lebisch
1Department of Surgery, Rudolfstiftung Hospital, Vienna, Austria. Stefan.Kriwanek@kar.magwien.gv.at
Obesity Surgery
|March 15, 2000
Summary
Bariatric surgery like vertical banded gastroplasty (VBG) leads to significant weight loss. Successful weight reduction after VBG depends on reduced sweets intake, not diet type.
Area of Science:
- Bariatric surgery
- Gastroenterology
- Weight management
Background:
- Gastric restriction surgery, such as vertical banded gastroplasty (VBG), creates a gastric pouch to limit oral intake.
- Therapeutic success is linked to food intolerance and dietary imbalances post-surgery.
Purpose of the Study:
- To investigate dietary changes following VBG.
- To assess the association between these dietary changes and therapeutic success (weight reduction).
Main Methods:
- A cohort of 70 patients (median age 32, median BMI 44.6) underwent VBG.
- Evaluated outcomes included weight reduction, nutritional intake, food intolerances, vomiting frequency, and patient satisfaction at least 3 years post-surgery.
Main Results:
- 80% of patients achieved sufficient weight loss (average BMI reduction of 13).
- Weight reduction was correlated with reduced sweets consumption, not the type of diet (solid, soft, liquid).
- Vomiting (71%) was common; 76% reported food intolerances, primarily to meat, fruits, or vegetables.
Conclusions:
- VBG is effective for weight reduction in 80% of patients, despite significant dietary modifications.
- Controlling sweets intake is crucial for successful weight loss after VBG, irrespective of diet consistency.