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Vertical banded gastroplasty , the most commonly known as gastric stapling, is a restrictive procedure and it was originated and perfected over the time .Advances in the use of mechanical staplers made this technique done. Vertical Banded Gastroplasty was actually the first purely restrictive operation performed for treatment of obesity. It was developed to be an alternative to the Roux-en-Y gastric bypass and jejunoileal bypass surgeries as it is a lesser risky procedure. Vertical Banded Gastroplasty has a very less mortality rate, a very few problems with nutritional deficiencies and a less risk of infections. Vertical Banded Gastroplasty involves the use of a band and staples to make a small pouch in the upper portion of the stomach. The purpose of this pouch is to regulate the food intake while at the same time slow down the flow of food. This small pouch is then reinforced by a band of polypropylene mesh placed around the outlet of the pouch to prevent it from expansion and to create a feeling of fullness. The new stomach pouch is small and will only hold about ½ ounce at a time. The bottom part of the pouch has a small hole nearly 1cm in diameter through which the food passes into the stomach and on to the rest of the intestinal tract. Vertical Banded Gastroplasty was once a renowed surgery for treating obesity, but now-a-days it is less performed as the patients notice a very less weight loss. Statistics reveale that only 40-50 percentage of the patients were losing ½ their overweight. Five years after only about 30 percentage of patients maintained their weight loss. The open VBG is done with general anesthesia. In many cases, it takes one to two hours to perform the surgery. The surgeon will make an incision several inches length in the patient's upper abdomen. After cutting through the layers of tissue over the stomach, the surgeon cuts a hole into the upper part of the stomach a some inches below the esophagus. In The second step the surgeon places a line of surgical staples from the window in the way of the esophagus, which creates a small bag at the upper part of the stomach. The surgeon will measure the size of this bag very carefully. when completed, it is about 10% of the size of a normal stomach and will hold about very less amount of solid food. After forming the bag and looking to its size, the surgeon takes a band made out of polypropylene plastic and places it through the aperture around the outlet of the stomach pouch. The vertical band is stitched into place. Because the polypropylene does not stretch, it holds food in the stomach for very long duration of time, which allows the patient to feel full on only a small amount of food. After the placing of the band, the surgeon will check that there is no leakage at the window and the surgical staples. The area of surgery will be washed out with a sterile saline solution and the incision closed. A laparoscopic vertical banded gastroplasty, is done by the use of bariatric laparoscope. A laparoscope is a little tube which holds a fiberoptic cable that allows the surgeon to view the inner part of the abdominal cavity on a high-resolution video screen and record the operation. In a laparoscopic vertical banded gastroplasty, the surgeon will make three small apertures on the left side of the abdomen for inserting the laparoscope, and fourth aperture about 2.5 in length on the other side. The formation of the stomach bag and insertion of the plastic band are done through these small apertures. Because it is more difficult to operate the instruments through the small openings, an laparoscopic vertical banded gastroplasty takes longer than an open vertical banded gastroplasty. A laparoscopic vertical banded gastroplasty requires that the surgeon spend more training and practice than with an open vertical banded gastroplasty. As of 2003, about 90 percentage of the vertical banded gastroplasty performed are done as open methods. In the event of complications developing during a laparoscopic vertical banded gastroplasty, the surgeon usually completes the operation using the open method. ConferenceSeries is conducting a conference Global Summit & Medicare Expo on Surgical Weight Loss during July 20-22, 2015 at Brisbane, Australia. The theme of the conference is based on “Scientific perspectives for better fitness and to pioneer innovations in Surgical Obesity treatmentâ€. 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RELEVANT EVENTS: ASBP-Obesity Medicine 2015: Recognizing Obesity as a Disease ASBP-4th Canadian Obesity Summit ASBP-Overcoming Obesity 2015: Diagnose. Personalize. Treat. ASBP-Obesity Medicine 2016: Recognizing Obesity as a Disease ASBP-XIII International Conference on Obesity 2015 Obesity Treatment and Prevention Conference Texas Association for Bariatric Surgery 2015 Annual Physician Conference Obesity Medicine 2015: Recognizing Obesity as a Disease 15th Annual Minimally Invasive Surgery Symposium MISS Overcoming Obesity 2015: Diagnose. Personalize. Treat RELEVANT SOCIETIES/ASSOCIATIONS: The International Federation for the Surgery of Obesity and Metabolic Disorders Obesity Surgery Society of Australia & New Zealand American Society of Bariatric Physicians British Obesity & Metabolic Surgery Society Texas Association for Bariatric Surgery - Home American Society for Metabolic and Bariatric Surgery American Board of Obesity Medicine The Obesity Society Weight Management Council Australia Ltd Obesity Action Coalition Canadian Association of Bariatric Physicians and Surgeons
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This page was last updated on April 27, 2024