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Updated: Mar 23, 2026
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
Long-term results after revisions of failed primary vertical banded gastroplasty
Martin R van Wezenbeek1, Frans J F Smulders1, Jean-Paul J G M de Zoete1
1Martin R van Wezenbeek, Frans J F Smulders, Jean-Paul J G M de Zoete, Misha D Luyer, Gust van Montfort, Simon W Nienhuijs, Department of Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
Aim:
To compare the results after revision of primary vertical banded gastroplasty (Re-VBG) and conversion to sleeve gastrectomy (cSG) or gastric bypass (cRYGB).
Methods:
In this retrospective single-center study, all patients with a failed VBG who underwent revisional surgery were included. Medical charts were reviewed and additional postal questionnaires were sent to update follow-up. Weight loss, postoperative complications and long-term outcome were assessed.
Results:
A total 152 patients were included in this study, of which 21 underwent Re-VBG, 16 underwent cSG and 115 patients underwent cRYGB. Sixteen patients necessitated a second revisional procedure. No patients were lost-to-follow-up. Two patients deceased during the follow-up period, 23 patients did not return the questionnaire. Main reasons for revision were dysphagia/vomiting, weight regain and insufficient weight loss. Excess weight loss (%EWL) after Re-VBG, cSG and cRYGB was, respectively, 45%, 57% and 72%. Eighteen patients (11.8%) reported postoperative complications and 27% reported long-term complaints.
Conclusion:
In terms of additional weight loss, postoperative complaints and reintervention rate, Roux-en-Y gastric bypass seems feasible as a revision for a failed VBG.
