An assessment of vertical banded gastroplasty-Roux-en-Y gastric bypass for the treatment of morbid obesity

American Journal of Surgery
Joseph F Capella, Rafael F Capella

Abstract

To analyze retrospectively the mortality, morbidity, and weight loss of a specific form of gastric bypass for the treatment of morbid obesity. The technique incorporates a small pouch along the lesser curvature of the stomach, an outlet restricted by a nondistensible band and a Roux-en-Y gastric bypass. We analyzed 652 consecutive patients with no previous bariatric surgery who underwent our present form of gastric bypass. Parameters used to evaluate the technique included mortality, weight loss at 5 years and complications. The operation is a combination of vertical banded gastroplasty and Roux-en-Y gastric bypass (VBG-RGB). The patients followed up to 5 years had an initial weight of 140 kg [range, 94 to 288] and a BMI of 50 [range, 38 to 86]. Superobese individuals (BMI of 60 [range, 48 to 86]) made up 42% of the group. There was an early reoperation rate of 0.5%. The incidence of late complications that required reoperation was 0.5%. There were 2 deaths in the study from pulmonary embolism for a mortality of 0.3%. At 5 years, the patients had lost an average of 58kg [range, 14 to 143] and had a percentage excess weight loss of 77 [range, 32 to 108]. Their BMI was reduced to 29 kg/m(2) [range, 20 to 43] and 93% lost more tha...Continue Reading

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Citations

Nov 19, 2004·European Radiology·Kumaresan SandrasegaranDean D Maglinte
Oct 3, 2007·Surgical Endoscopy·K D HigaA Khan
Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adriana Vaz Safatle-RibeiroPaulo Sakai
Apr 27, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Stephen S McNattDavid W McFadden
Mar 16, 2007·Obesity Surgery·Raymond J TaddeucciDavid S Tichansky
Jul 5, 2007·Obesity Surgery·Rafael F CapellaJoseph F Capella
Jul 31, 2007·Obesity Surgery·Denis PajeckiIvan Cecconello
Dec 22, 2007·Obesity Surgery·Jorge Junior MaliMarco Cezar Lopes de Menezes
May 20, 2008·Obesity Surgery·Rafael F CapellaJoseph F Capella
Apr 4, 2008·Obesity Surgery·Garth H BallantyneHans J Schmidt
Apr 3, 2013·Obesity Surgery·Sergio Ricardo Spinosa, Antonio Carlos Valezi
Jan 27, 2005·Disease Management : DM·Victor G Villagra
Sep 3, 2010·Obesity Surgery·Antonio Carlos ValeziShirley A F de Souza
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Jun 1, 2009·Clinical Journal of Gastroenterology·Takeshi IchikawaMasatomo Mori
Dec 25, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Xeily ZarateMiguel F Herrera
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Jun 5, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marc BesslerMary DiGiorgi
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Jun 4, 2008·Plastic and Reconstructive Surgery·Michele A ShermakDavid Chang
Feb 8, 2006·Plastic and Reconstructive Surgery·Robert B NemerofskyJoseph F Capella

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