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Nutrition after vertical banded gastroplasty
L D MacLean1, B Rhode, H M Shizgal
1Department of Surgery, Royal Victoria Hospital, Montreal Quebec, Canada.
Annals of Surgery
|November 1, 1987
Summary
Vertical banded gastroplasty (VBG) effectively reduces weight in morbidly obese patients. This study found VBG leads to significant weight loss without causing malnutrition, even in those achieving ideal body weight.
Area of Science:
- Bariatric Surgery
- Nutritional Science
- Obesity Management
Background:
- Morbid obesity presents significant health challenges.
- Weight loss surgery is a common intervention for obesity.
- Assessing nutritional status post-bariatric surgery is crucial.
Purpose of the Study:
- To evaluate the nutritional status of morbidly obese patients after vertical banded gastroplasty (VBG).
- To correlate weight loss outcomes with nutritional status following VBG.
- To compare VBG's impact on malnutrition with other weight-reducing operations.
Main Methods:
- Assessed body composition using multiple isotope dilution in 60 morbidly obese patients.
- Monitored body weight and body mass index (BMI) for over 1 year post-operation.
- Categorized patients based on percentage of weight loss and proximity to ideal weight.
Main Results:
- Patients achieving >25% weight loss showed significant BMI reduction (46.7 to 27.0 kg/m2) with no malnutrition.
- Patients with 25-41% weight loss also experienced BMI reduction (55.4 to 36.0 kg/m2) without malnutrition.
- No instances of malnutrition were observed in any patient group, regardless of weight loss outcome.
Conclusions:
- Vertical banded gastroplasty (VBG) facilitates substantial weight loss in morbidly obese individuals.
- VBG is associated with favorable nutritional status and does not lead to malnutrition.
- VBG appears to be a safe and effective bariatric procedure concerning nutritional outcomes.