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Surgical Endoscopy

, Volume 21, Issue 11, pp 1927–1930 | Cite as

Laparoscopic conversion of vertical banded gastroplasty to a Roux-en-Y gastric bypass

  • S. IkramuddinEmail author
  • T. A. Kellogg
  • D. B. Leslie
Article

Abstract

The vertical banded gastroplasty was the mainstay of bariatric surgery for over a decade. Though this procedure is now rarely performed many of these patients will present with failure or maladaptive eating and its sequelae. Some of these patients who demonstrate the motivation for lifestyle modification as well as many of these with complications will be candidates for revisional surgery. This article reviews the technical challenges in performing these revisions using minimally invasive techniques. In addition it reviews outcomes of laparoscopic conversion and tips for patient selection and success.

Keywords

Vertical banded gastroplasty VBG Roux-en-Y gastric bypass RYGB Laparoscopic Conversion Revision Bariatric surgery 

References

  1. 1.
    Benotti PN, Forse RA (1995) The role of gastric surgery in the multidisciplinary management of severe obesity. Am J Surg 169:361–367PubMedCrossRefGoogle Scholar
  2. 2.
    American Society for Bariatric Surgery. http://www.asbs.org/html/about/ncd_release.html. Cited 6 Aug 2007
  3. 3.
    Nightengale ML, Sarr MG, Kelly KA, Jensen MD, Zinsmeister AR, Palumbo PJ (1991) Prospective evaluation of vertical banded gastroplasty as the primary operation for morbid obesity. Mayo Clin Proc 66:773–782PubMedGoogle Scholar
  4. 4.
    Ashley S, Bird DL, Sugden G, Royston CM (1993) Vertical banded gastroplasty for the treatment of morbid obesity. Br J Surg 80:1421–1423PubMedCrossRefGoogle Scholar
  5. 5.
    Baltasar A, Bou R, Arlandis F, Martinez R, Serra C, Bengochea M, Miro J (1998) Vertical banded gastroplasty at more than 5 years. Obes Surg 8:29–34PubMedCrossRefGoogle Scholar
  6. 6.
    Mason EE, Maher JW, Scott DH (1992) Ten years of vertical banded gastroplasty for severe obesity. Prob Gen Surg 9:280–289Google Scholar
  7. 7.
    Naslund E, Backman L, Granstrom L, Stockeld D (1997) Seven-year results of vertical banded gastroplasty for morbid obesity. Eur J Surg 163:281–286PubMedGoogle Scholar
  8. 8.
    Suter M, Jayet C, Jayet A (2000) Vertical banded gastroplasty: long term results comparing three different techniques. Obes Surg 10:41–46PubMedCrossRefGoogle Scholar
  9. 9.
    Balsiger BM, Poggio JL, Kelly KA, Sarr MG (2000) Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity. J Gastrointest Surg 4:598–605PubMedCrossRefGoogle Scholar
  10. 10.
    Balsiger BM, Murr MM, Sarr MG (2000) Gastroesophageal reflux after intact vertical banded gastroplasty: correction by conversion to Roux-en-Y gastric bypass. J Gastrointest Surg 4:276–281PubMedCrossRefGoogle Scholar
  11. 11.
    Behrns KE, Smith CD, Kelly KA, Sarr MG (1993) Reoperative bariatric surgery: lessons learned to improve patient selection and results. Ann Surg 218:646–653PubMedCrossRefGoogle Scholar
  12. 12.
    Sugerman HJ, Kellum JM, DeMaria EJ, Reines HD (1996) Conversion of failed or complicated vertical banded gastroplasty to gastric bypass in morbid obesity. Am J Surg 171:163–169CrossRefGoogle Scholar
  13. 13.
    de Csepel J, Nahouraii R, Gagner M (2001) Laparoscopic gastric bypass as a reoperative bariatric procedure for failed open restrictive procedures. Surg Endosc 15:393–397PubMedCrossRefGoogle Scholar
  14. 14.
    Bloomberg RD, Urbach DR (2002) Laparoscopic Roux-en-Y gastric bypass for severe gastroesophageal reflux after vertical banded gastroplasty. Obes Surg 12:408–411PubMedCrossRefGoogle Scholar
  15. 15.
    Brolin RE (1995) The antiobstruction stitch in stapled Roux-en-Y enterenterostomy. Am J Surg 169:355–357PubMedCrossRefGoogle Scholar
  16. 16.
    Moreno P, Alastrue A, Rull M, Formiguera X, Casas D, Boix J (1998) Band erosion in patients who have undergone vertical banded gastroplasty: incidence and technical solutions. Arch Surg 133:189–193PubMedCrossRefGoogle Scholar
  17. 17.
    Eckhauser FE, Knol JA, Strodel WE (1983) Remedial surgery following failed gastroplasty for morbid obesity. Ann Surg 198:585–591PubMedCrossRefGoogle Scholar
  18. 18.
    de Csepel J, Nahouraii R, Gagner M (2001) Laparoscopic gastric bypass as a reoperative bariatric procedure for failed open restrictive procedures. Surg Endosc 15:393–397PubMedCrossRefGoogle Scholar
  19. 19.
    Schwartz RW, Strodel WE, Simpson WS, Griffen WO Jr (1988) Gastric bypass revision: lessons learned from 920 cases. Surgery 104:806–812PubMedGoogle Scholar
  20. 20.
    Sweeney JF, Goode SE, Rosemburgy AS (1994) Redo gastric restriction: a higher risk procedure. Obes Surg 4:244–247PubMedCrossRefGoogle Scholar
  21. 21.
    Capella RF, Capella JF (1998) Converting vertical banded gastroplasty to a lesser curvature gastric bypass: technical considerations. Obes Surg 8:218–224PubMedCrossRefGoogle Scholar
  22. 22.
    Vaneerdeweg W, Hubens G, Van Gaal L, Eyskens E (1994) Operations for failed vertical banded gastroplasty. Acta Chir Belg 94:203–206PubMedGoogle Scholar
  23. 23.
    Sugerman HJ, Wolper JL (1984) Failed gastroplasty for morbid obesity: revised gastroplasty versus Roux-en-Y gastric bypass. Am J Surg 148:331–336PubMedCrossRefGoogle Scholar
  24. 24.
    Hunter R, Watts JM, Dunstan R, Elmslie R, O’Brien P, Slavotinek A, Walsh J (1992) Revisional surgery for failed gastric restrictive procedures for morbid obesity. Obes Surg 2:245–252PubMedCrossRefGoogle Scholar
  25. 25.
    Jones KB (2001) Revisional bariatric surgery: safe and effective. Obes Surg 11:183–189PubMedCrossRefGoogle Scholar
  26. 26.
    Kfoury E, Vanguri A (1993) Distal Roux-en-Y gastric bypass conversion operation for failed vertical banded gastroplasty. Obes Surg 3:41–43PubMedCrossRefGoogle Scholar
  27. 27.
    Westling A, Ohrvall M, Gustavsson S (2002) Roux-en-Y gastric bypass after previous unsuccessful gastric restrictive surgery. J Gastrointest Surg 6:206–211PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of MinnesotaMinneapolisUSA

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