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Vertical Banded Gastroplasty (VBG) Surgery, Gastric Bypass Bariatric Surgery - Obesity

Vertical Banded Gastroplasty (VBG) Surgery
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Vertical Banded Gastroplasty (VBG) Surgery

Vertical Banded Gastroplasty (VBG) - Weight Loss Surgery Operation

Vertical Banded Gastroplasty has been the most common restrictive weight loss surgery operation for weight control. (See Fig 1.) VBG weight loss surgery, along with the Roux-en-Y operation, is one of the two major types of operations recognized by the National Institutes of Health (NIH) for the treatment of clinically severe obesity. It is a purely restrictive procedure with no malabsorptive effect. The goal of this procedure is to severely restrict the patient's capacity to eat certain foods.

Figure 1. Vertical Banded Gastroplasty (VBG)

During VBG weight loss surgery, both a band and staples are used to create a small stomach pouch.

Advantages of Vertical Banded Gastroplasty

- Completely reversible
- Body anatomy is left intact
- No dumping syndrome
- No nutritional deficiencies

Disadvantages of Vertical Banded Gastroplasty

- Needs strict patient compliance to diet
- No malabsorption
- Vomiting if food is not properly chewed or if food is eaten too quickly

Although restrictive operations lead to weight loss in almost all patients, they are less successful than malabsorptive operations in achieving substantial, long-term weight loss. About 30 percent of those who undergo VBG achieve normal weight, and about 80 percent achieve some degree of weight loss. Some patients regain weight. Others are unable to adjust their eating habits and fail to lose the desired weight. Successful results depend on the patient’s willingness to adopt a long-term plan of healthy eating and regular physical activity.

Source:
NIDDK - Gastrointestinal Surgery for Severe Obesity

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