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Radiological Features after Vertical Banded Gastroplasty
1Departments of Surgery and Nutritional Sciences, University of Toronto and St. Joseph's Health Centre, Toronto, ON M6R 1B5 Canada.
Obesity Surgery
|September 1, 1991
Summary
Radiologic contrast studies reveal staple-line abnormalities after vertical banded gastroplasty. Findings include partition issues, outlet problems, ulcers, and leaks, aiding in diagnosing post-surgical complications.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Radiology
Background:
- Vertical banded gastroplasty (VBG) is a bariatric surgical procedure.
- Over 1300 VBG operations have been performed at the hospital since 1982.
- Radiologic contrast studies are used to evaluate patients with VBG complications.
Purpose of the Study:
- To describe the radiologic findings in patients who underwent vertical banded gastroplasty.
- To correlate radiologic findings with clinical symptoms and outcomes.
- To identify common abnormalities detected via contrast studies post-VBG.
Main Methods:
- Retrospective review of 159 patients who underwent radiologic contrast studies after VBG.
- Analysis of pre-contrast plain films for staple-line abnormalities.
- Categorization of radiographic findings into partition abnormalities, banded outlet abnormalities, ulcers, and extragastric leaks.
Main Results:
- Pre-contrast plain films were significant indicators of staple-line abnormalities.
- Radiographic findings were categorized into abnormalities of the partition, banded outlet, ulcers, and extragastric leaks.
- These findings were associated with patient symptoms such as abdominal pain, vomiting, and weight issues.
Conclusions:
- Radiologic contrast studies are valuable for diagnosing complications after vertical banded gastroplasty.
- Staple-line abnormalities, partition defects, outlet stenosis, ulcers, and leaks are key findings.
- Understanding these radiologic findings aids in patient management and treatment planning.