Impartial Long-Term Review of Vertical Banded Gastroplasty in a Low Volume Community Hospital Practice

Voitk, Andrus J.; Voitk, Jaan; Joffe, Jacobo

doi:10.1381/09608920160556698

Cited by 6 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were no significant differences reported between BSCOE and non-BSCOE hospitals for patient mortality (0.17% vs 0.09%; P = 0.13), morbidity (6.3% vs 6.4%; P = 0.93), and duration of hospital stay (2.6 days vs 2.6 days; P = 0.83). Other studies of BSCOE hospital outcomes reported mor- 37 Fair + Nguyen et al 38 Fair + Murr et al 26 Fair + + Hollenbeak et al 25 Fair + + Encinosa et al 36 Good + Carbonell et al 35 Fair − Dimick et al 48 Fair + Weller et al 23 Good + + Kohn et al 39 Poor + Birkmeyer et al 24 Fair + + Livingston et al 46 Fair + Morino et al 56 Fair + O'Rourke et al 28 Fair − Parker et al 57 Fair + Voitk et al 29 Poor − Weller and Hannan 27 Fair + + * Quality: Good, Fair, or Poor. †(+) Presence or (−) absence of association.…”

Section: Hospital Volumes and Patient Outcomesmentioning

confidence: 99%

Volume-Outcome Association in Bariatric Surgery

2012

View full text Add to dashboard Cite

There is strong evidence of improved patient outcomes in the hands of high-volume surgeons and high-volume centers. This study supports the concept of "Bariatric Surgery Center of Excellence" accreditation; however, future research into the quality of care characteristics of successful bariatric programs is recommended. Understanding the characteristics of high-volume surgeons, which lead to improved patient outcomes, also requires further investigation.

show abstract

Section: Hospital Volumes and Patient Outcomesmentioning

confidence: 99%

Volume-Outcome Association in Bariatric Surgery

2012

View full text Add to dashboard Cite

show abstract

Rejecting the Demise of Vertical-Banded Gastroplasty: a Long-Term Single-Institute Experience

et al. 2013

View full text Add to dashboard Cite

Surgical interventions have proven to be more effective than other measures in the treatment of morbid obesity. The short-term outcomes of the various surgical interventions have been well documented in the literature, with fewer reports on long-term outcomes. The reported long-term outcome of the vertical-banded gastroplasty (VBG) is conflicting. The aim of the present study was to evaluate our long-term experience with VBG. A retrospective review of a prospectively maintained database was conducted. Records of patients who underwent VBG five or more years ago were retrieved. An analysis of the long-term weight changes and reported complications was conducted. The study included 150 patients: 43 males (29%) and 107 females (71%). Their mean age was 30 years old (12-53), and the mean body mass index (BMI) was 47 ± 8.4 kg/m2. Patients were followed up for an average of 8 years (5-11). More than 60 % of patients had good long-term weight loss (EWL > 50%). A significant negative correlation was found between the excess weight loss percent (EWL%) and the pre-operative BMI (p < 0.05). The differences in EWL% between males and females were not significant (p = 0.061). Nevertheless, the change in EWL% over time for both males and females was significant (p = 0.004). Revision surgery was required in seven patients (4.7%). Five patients had conversion of VBG to gastric bypass (3.3%), while two patients (1.3%) had reversal of the procedure. Late complications included mesh erosion in three cases, staple line dehiscence in two patients, and stomal stenosis in six patients. VBG could be a long-term effective intervention for the treatment of morbid obesity. Good selection is the cornerstone for long-term success. Late complication rate is acceptable after VBG. VBG is a specifically useful tool under stringent financial circumstances.

show abstract

Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice

Azagury

Morton

2016

Surgical Clinics of North America

View full text Add to dashboard Cite

Impartial Long-Term Review of Vertical Banded Gastroplasty in a Low Volume Community Hospital Practice

Abstract: Results from a low-volume community hospital general surgical practice are similar to those from specialized series. Obesity is so common, its non-surgical treatment so ineffective and the VBG so well established, that excluding this intervention from community hospitals is untenable.

Cited by 6 publications

References 5 publications

Volume-Outcome Association in Bariatric Surgery

Volume-Outcome Association in Bariatric Surgery

Rejecting the Demise of Vertical-Banded Gastroplasty: a Long-Term Single-Institute Experience

Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice

Contact Info

Product

Resources

About