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15-year follow-up of vertical banded gastroplasty: comparison with other restrictive procedures

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Abstract

Introduction

Vertical banded gastroplasty (VBG) has been the procedure of choice for bariatric surgeries since the 1980s. However, long-term results of VBG have been reported with different opinions, and new restrictive procedures have been innovated and showing variable results. The aim of this study is to analyze the long-term results of our VBG patients.

Patient and methods

Between June 1998 and May 2002, 652 morbidly obese patients received VBG, with the initial 40 patients having open procedures and the subsequent 612 patients using a laparoscopic approach. Operative complications, weight loss, and late complications were followed and compared with groups of laparoscopic adjustable gastric banding (LAGB) and sleeve gastrectomy (LSG).

Results

Mean age, preoperative weight, and body mass index (BMI) were 30.96 years, 108.83 kg, and 40.63 kg/m2, respectively. The overall early postoperative complication rate was 3.4 % (22/652). The excess weight loss percentages at 1, 2, 5, and 10 years were 61.04, 59.70, 51.11, and 42.0 %, respectively. BMI at 1, 2, 5, and 10 years were 29.64, 29.71, 31.33, and 31.73 kg/m2, respectively. This result is inferior to the 67 % excess weight loss in the LSG group, but is higher than the 38 % excess weight loss of the LAGB group. The revision rate is 13.19 % (86/652) up to now. Revision surgery was required in 28 (14.0 %) patients in the LAGB group and 8 (1.3 %) in the LSG group.

Conclusion

VBG was an operation with acceptable outcome for treating morbid obesity and metabolic disorders. It sets a standard for new restrictive procedures.

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Disclosures

Dr. Yu-Hung Lin, Dr. Wei-Jei Lee, Dr. Kong-Han Ser, Ms. Shu-Chun Chen, and Dr. Jung-Chien Chen have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Min-Sheng General Hospital, National Taiwan University, No. 168, Chin Kuo Road, Taoyuan, Taiwan, Roc

    Yu-Hung Lin, Wei-Jei Lee, Kong-Han Ser, Shu-Chun Chen & Jung-Chien Chen

  2. Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123, Dapi Road, Niaosong District, Kaohsiung, Taiwan, Roc

    Yu-Hung Lin

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  1. Yu-Hung Lin
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Correspondence to Wei-Jei Lee.

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Lin, YH., Lee, WJ., Ser, KH. et al. 15-year follow-up of vertical banded gastroplasty: comparison with other restrictive procedures. Surg Endosc 30, 489–494 (2016). https://doi.org/10.1007/s00464-015-4230-x

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