WEIGHT LOSS SURGICAL OPTIONS
Additional Bariatric Surgery Procedures Available in the United States:
Vertical Banded Gastroplasty The vertical
banded gastroplasty is also a restrictive operation. It consists of the creation
of a small upper gastric pouch with a restricted orifice to the rest of the
stomach. It has the advantage of not bypassing, resecting, or rearranging any
part of the gastrointestinal tract. For the most part, vertical banded gastroplasty
is performed by open procedure. This procedure was introduced in 1970 and the
percentage of patients undergoing this procedure has decreased since the early
1990s.
Weight loss after vertical banded gastroplasty is about 50% to 60% of excess
body weight. A plateau in weight loss is generally reached at 2 years. Potential
long-term complications include vomiting if meal portion exceeds restricted
capacity, lodging of a food particle or pill within the band or ring, and/or
outlet obstruction. When performed by skilled surgeons, operative mortality
rate is about 0.1%.
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