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Updated: Sep 4, 2026
A Murine Model of Vertical Sleeve Gastrectomy
Published on: December 18, 2017
An adjustable vertical banded gastroplasty does not eliminate the risk of staple-line disruption
E Näslund1, L Backman, L Granström
1Division of Surgery, Karolinska Institute at Danderyd Hospital, Stockholm, Sweden. Erik.Naslund@kir.ds.sll.se
Background:
The two main reasons for reoperation after vertical banded gastroplasty (VBG) in the treatment of obesity are staple-line disruption and stomal stenosis.
Patients:
Seven morbidly obese patients of mean (+/-SEM) body mass index (BMI) 43.7 +/- 1.9 kg/m2 treated with an adjustable vertical banded gastroplasty (AVBG).
Results:
No complications of the band system were reported. Weight-loss [BMI at 2 years follow-up 33.9 +/- 6.9 kg/m2 (n = 5)] was equivalent to that seen after VBG with a fixed band. Two of the patients developed staple-line disruption at 18 and 24 months after surgery.
Conclusion:
AVBG allows adjustment of the stoma, but staple-line disruption was common in this small series. It is possible that an excessive filling of the band in order to achieve excess weight loss results in a high pressure in the upper pouch which increases the risk of staple-line disruption.
