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Vertical banded gastroplasty: is it a durable operation for morbid obesity?
Dolores Arribas del Amo1, Mariano Martínez Díez, Manuela Elía Guedea
1Department General Surgery, Hospital Clínico "Lozano Blesa", Zaragoza, Spain. lolada@terra.es
Insights
Long-term results of vertical banded gastroplasty (VBG) show declining success rates and increased revisional surgeries. While initial weight loss may not be sustained, improvements in comorbidities were previously noted.
Area of Science:
- Bariatric surgery outcomes
- Surgical gastroenterology
Background:
- Long-term follow-up is crucial for evaluating bariatric surgery outcomes.
- Vertical banded gastroplasty (VBG) is a bariatric procedure requiring ongoing assessment.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of vertical banded gastroplasty (VBG).
- To analyze trends in follow-up rates, success, and revisional surgery over time.
Main Methods:
- A cohort of 123 patients undergoing VBG between 1986 and 1999 was retrospectively analyzed.
- Data on patient follow-up, revisional surgery, success rates, and complications were collected and analyzed in 2000 and 2002.
Main Results:
- Follow-up rates decreased from 65% to 53% over the study period.
- The success rate of VBG declined significantly from 46.16% to 32.79%.
- Revisional surgery rates increased substantially from 9.61% to 29.51% within two years, often due to inadequate weight loss or complications.
Conclusions:
- Vertical banded gastroplasty (VBG) often fails to maintain long-term weight loss.
- Despite weight loss challenges, VBG may offer sustained improvements in comorbidities.
Background:
Long-term follow-up is important in the evaluation of results of bariatric operations. The authors followed vertical banded gastroplasty (VBG) in an ongoing database.
Methods:
From 1986 to 1999, 123 VBGs were performed in one surgical ward. The series comprises 105 females and 18 males, with mean age 37 years and mean preoperative BMI 48.39 kg/m(2). The authors evaluated long-term results (patients followed, patients who underwent revisional surgery, success rate and complications), analyzed in 2000 and again in 2002.
Results:
With time, the percentage of patients in the follow-up decreased from 65 to 53%, the success-rate decreased from 46.16 to 32.79%, and revisional surgery for inadequate weight loss or complications increased from 9.61 to 29.51% in only 2 years.
Conclusion:
The weight loss of VBG was frequently not maintained in the long-term. However, we have previously found maintained improvements in comorbidities.
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