Skip to main content
Log in

Conversion of Vertical Banded Gastroplasty to Stand-Alone Sleeve Gastrectomy or Biliopancreatic Diversion with Duodenal Switch

Journal of Gastrointestinal Surgery Aims and scope

Abstract

Introduction

Vertical banded gastroplasty (VBG) originated as a simplified bariatric operation to avoid malabsorption and provide lasting results due to a fixed stoma. Short-term results were excellent (50–70 % excess weight loss); however, patients often displayed maladaptive eating behaviors, and many failed to either achieve or sustain adequate long-term weight loss. Complications were also common including severe reflux and regurgitation, gastric outlet stenosis or stricture, gastrogastric fistula, and breakdown of the staple line.

Methods

VBG conversions to Roux-en-Y gastric bypass or sleeve gastrectomy as well as endoscopic interventions such as band removal have been described but have very high complication rates. We describe conversion of VBG to biliopancreatic diversion with duodenal switch using endoscopic guidance to take down the VBG staple line and the mesh around the outlet.

Results

This technique can also be used to safely convert a VBG to a stand-alone sleeve gastrectomy.

Conclusion

Complication rates have been low by this technique, and we encourage others to adopt this technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Mason, E.E., Vertical banded gastroplasty for obesity. Arch Surg, 1982. 117(5): p. 701–6.

    Article  PubMed  CAS  Google Scholar 

  2. Hess, D.W. and D.S. Hess, Laparoscopic Vertical Banded Gastroplasty with Complete Transection of the Staple-Line. Obes Surg, 1994. 4(1): p. 44–46.

    Article  PubMed  Google Scholar 

  3. Ojo, P. and E. Valin, Cost-effective restrictive bariatric surgery: laparoscopic vertical banded gastroplasty versus laparoscopic adjustable gastric band. Obes Surg, 2009. 19(11): p. 1536–41.

    Article  PubMed  Google Scholar 

  4. Nocca, D., et al., Laparoscopic vertical banded gastroplasty. A multicenter prospective study of 200 procedures. Surg Endosc, 2007. 21(6): p. 870–4.

    Article  PubMed  CAS  Google Scholar 

  5. Scozzari, G., et al., 10-year follow-up of laparoscopic vertical banded gastroplasty: good results in selected patients. Ann Surg, 2010. 252(5): p. 831–9.

    Article  PubMed  Google Scholar 

  6. Brolin, R.E., et al., Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg, 1994. 220(6): p. 782–90.

    Article  PubMed  CAS  Google Scholar 

  7. Berende, C.A., et al., Laparoscopic sleeve gastrectomy feasible for bariatric revision surgery. Obes Surg, 2012. 22(2): p. 330–4.

    Article  PubMed  Google Scholar 

  8. Greenbaum, D.F., et al., Duodenal switch with omentopexy and feeding jejunostomy--a safe and effective revisional operation for failed previous weight loss surgery. Surg Obes Relat Dis, 2011. 7(2): p. 213–8.

    Article  PubMed  Google Scholar 

  9. Sugerman, H.J., et al., Conversion of failed or complicated vertical banded gastroplasty to gastric bypass in morbid obesity. Am J Surg, 1996. 171(2): p. 263–9.

    Article  PubMed  CAS  Google Scholar 

  10. Karmali, S., et al., Endoscopic management of eroded prosthesis in vertical banded gastroplasty patients. Surg Endosc, 2010. 24(1): p. 98–102.

    Article  PubMed  Google Scholar 

  11. Sudan, R., V. Puri, and D. Sudan, Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc, 2007. 21(5): p. 729–33.

    Article  PubMed  CAS  Google Scholar 

  12. Marsk, R., et al., High revision rates after laparoscopic vertical banded gastroplasty. Surg Obes Relat Dis, 2009. 5(1): p. 94–8.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors have no commercial associations that might be a conflict of interest in relation to this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ranjan Sudan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jain-Spangler, K., Portenier, D., Torquati, A. et al. Conversion of Vertical Banded Gastroplasty to Stand-Alone Sleeve Gastrectomy or Biliopancreatic Diversion with Duodenal Switch. J Gastrointest Surg 17, 805–808 (2013). https://doi.org/10.1007/s11605-013-2165-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-013-2165-x

Keywords

Navigation