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Weight changes after vertical banded gastroplication.

J J Lara1, L Murray, R Carter

  • 1Department of Human Nutrition, University of Glasgow, Glasgow Royal Infirmary, Glasgow.

Scottish Medical Journal
|June 28, 2005
PubMed
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Vertical Banded Gastroplication (VBG) leads to initial weight loss, but most patients regain significant weight within years. Additional therapies are crucial to maintain weight loss after VBG surgery.

Area of Science:

  • Bariatric surgery
  • Obesity treatment
  • Weight management

Background:

  • Surgical interventions are increasingly utilized for severe obesity.
  • Understanding long-term weight change patterns post-surgery is critical for patient management.

Purpose of the Study:

  • To evaluate the long-term weight change patterns following Vertical Banded Gastroplication (VBG).
  • To assess the sustainability of weight loss achieved through VBG surgery.

Main Methods:

  • Retrospective analysis of 23 patients (16 female, 7 male) undergoing VBG between 1994-2000.
  • Patients followed a strict pre- and post-operative liquid diet (800 kcal) for 12 weeks each.
  • Data collected on weight, BMI, and follow-up duration (3-7 years).

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Main Results:

  • Significant initial weight loss (mean 44.4 kg, BMI decrease 15.8 kg/m2) occurred within two years.
  • A substantial weight regain (36% of initial loss) was observed between 3-7 years post-surgery.
  • Only one of five participants achieving BMI < 30 maintained all weight loss after 5 years.

Conclusions:

  • Weight loss following VBG plateaus after two years, followed by considerable weight regain.
  • Long-term weight maintenance after VBG is challenging.
  • Adjuvant therapies are necessary to counteract weight regain post-VBG.