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

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Abstract

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.

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Conflict of interest

Each of Dr. Mohamed Bekheit, Professor Khaled Katri, Professor Wael Nabil, Dr. Tarek Ezzat, and Professor El Said ElKayal declare no conflict of interest.

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Authors and Affiliations

  1. HBP Surgery Unit, Department of Surgery, Faculty of medicine, Alexandria Main University Hospital, Alexandria, Egypt

    Mohamed Bekheit, Khaled Katri, Wael Nabil Abdel salam, Tarek Ezzat & El Said El kayal

  2. El Kabbary General Hospital, El Kabbary, Alexandria, Egypt

    Mohamed Bekheit

  3. Endocrine Surgery Unit, Department of Surgery, University College of London Hospital, London, UK

    Tarek Ezzat

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  1. Mohamed Bekheit
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Correspondence to Mohamed Bekheit.

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Bekheit, M., Katri, K., salam, W.N.A. et al. Rejecting the Demise of Vertical-Banded Gastroplasty: a Long-Term Single-Institute Experience. OBES SURG 23, 1604–1610 (2013). https://doi.org/10.1007/s11695-013-0969-0

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