Vertical banded gastroplasty for the treatment of morbid obesity

Ashley, S.; Bird, David; Sugden, G.; Royston, C. M. S.

doi:10.1002/bjs.1800801122

Cited by 27 publications

(18 citation statements)

References 13 publications

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“…Another possible mechanism for inadequate weight reduction after operation may be due to staple dehiscence [17, 35, 36, 37]. Anyhow, others suggest that postoperative compliance is crucial for success in reducing weight [18]. …”

Section: Discussionmentioning

confidence: 99%

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Long-Term Follow-Up and Factors Influencing Success of Silastic Ring Vertical Gastroplasty

Vishne¹,

Ramadan²,

Alper³

et al. 2004

Dig Surg

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Background: Careful selection of patients for the operation plays a major role in long-term results of silastic ring vertical gastroplasty. The objective of the current study is to identify predictive factors for the objective (excess weight loss) and subjective (satisfaction) success of silastic ring vertical gastroplasty (SRVG) for morbid obesity. Methods:Design: Retrospective cohort study. Setting: University hospital. Subjects: 300 patients of 450 who were operated on between 1984 and 1997. Follow-up time was 4.4 ± 2.3 years. Intervention: SRVG. Statistical Methods: Correlations, multi-linear regression model. Results: Average BMI (body mass index) loss: 13.6 ± 7.4 kg/m², average excess weight loss was 67.4 ± 33.0%. Satisfaction rate: 81.3%. Correlation was found between objective parameters of successes and the satisfaction of the patient (p < 0.001). Excess weight loss was correlated to younger age (p < 0.005), pre-operative weight and BMI (p < 0.005, p < 0.01, respectively), and shorter follow-up (p < 0.001). Multiple linear regression model revealed that age and preoperative weight were independent vari ables and correlated to the excess weight loss after SRVG (R² = 0.303, p < 0.01; R² = 0.026, p < 0.05). Social support was correlated to satisfaction (p < 0.05). Conclusions: SRVG is an operation with high rates of objective and subjective success rate. Younger and heavier subjects will mostly enjoy SRVG in terms of excess weight loss. Patients who have social support have the most satisfactory emotional outcome.

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Section: Discussionmentioning

confidence: 99%

“…It seems that noncompliance is the most important factor for failure of weight reduction surgery [18]. Therefore, careful selection of patients for the operation plays a major role in long-term results.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Follow-Up and Factors Influencing Success of Silastic Ring Vertical Gastroplasty

Vishne¹,

Ramadan²,

Alper³

et al. 2004

Dig Surg

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“…I) 13 ' 5 . Both techniques induce a rapid and sustained loss of weight, and are relatively well tolerated 1 -5 ' 12 .…”

Section: Current Surgical Optionsmentioning

confidence: 99%

Surgical treatment for morbid obesity

Kolanowski

1997

British Medical Bulletin

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Since severe obesity is frequently associated with serious metabolic, cardiovascular and psychological co-morbid conditions, and given the usually unsuccessful results of conservative therapeutic approaches, surgical treatment based on gastric restriction procedures is increasingly recognized as a treatment of choice for morbidly obese persons. Among several surgical approaches designed to promote a substantial loss of weight, two gastric restriction procedures, i.e. the vertical banded gastroplasty and the gastric bypass, have been increasingly used during the past years. Both techniques induce an impressive loss of weight, and are surprisingly well tolerated, even by severely obese persons.The usual 50-75% reduction of initial weight excess, is followed by a clear-cut reduction, or even disappearance of, obesity-related co-morbidity, such as hypertension, diabetes mellitus or sleep apnea syndrome.While serious peri-and postoperative risks are very limited, the intractable vomiting occurring after gastroplasty, and potential sequelae related to iron and calcium malabsorption after the gastric bypass, represent much more frequent complications of the surgical treatment of obesity. There is also a tendency towards a late regain of weight, but the benefit in terms of improvement in the obesity-associated co-morbidity is in general maintained despite this partial increase in weight.Gastric procedures are, therefore, an effective treatment of severe obesity and of its co-morbid conditions. However, careful medical and nutritional supervision is necessary during the follow-up after surgery, to prevent potential nutritional or digestive complications.

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“…Outlet stenosis represents one of the most frequent complications in long-term follow-up of VBG with a reported incidence ranging from 5 to 20% [7,[13][14][15][16][17][18][19][20] depending on the collar material and band circumference.…”

Section: Discussionmentioning

confidence: 99%