Cullen, "Management of complications in vertical banded gastroplasty
," Current Surgery, vol.
Outcome of esophageal function and 24-hour esophageal pH monitoring after vertical banded gastroplasty
and Roux-en-Y gastric bypass.
(1) The most common procedure in the world is laparoscopic Roux-en-Y gastric bypass (26% of all operations), followed by laparoscopic gastric banding (24%), open gastric bypass (23%), laparoscopic long-limb gastric bypass (9%), open long-limb gastric bypass (7%), vertical banded gastroplasty
(5%), and biliopancreatic diversion/duodenal switch (5%).
Similar to vertical banded gastroplasty
, this procedure creates a limited partition of the stomach, but also includes a bypass of the duodenum and upper portion of the small intestine.
About 30 percent of persons undergoing vertical banded gastroplasty
achieve normal weight, and about 80 percent achieve some degree of weight loss.
The vertical banded gastroplasty
(see Figure 3) is an older restrictive procedure not often used at present.
There are Several options, including the Roux-en-Y gastric bypass, biliopancreatic bypass, laparoscopic adjustable gastric banding, and vertical banded gastroplasty
([double dagger]) Restrictive: vertical banded gastroplasty
, gastric banding.
The 1991 National Institutes of Health (NIH) conference on obesity and its management recognized vertical banded gastroplasty
and gastric bypass as acceptable procedures to treat obesity based on available outcome data (NIH, 1991).
In the part of the report that assessed surgical options, investigators included randomized controlled trials, controlled clinical trials, and case series reports on vertical banded gastroplasty
and other gastroplasty procedures as well as Rouxen-Y gastric bypass.
The most common procedures are Rouxen-Y gastric bypass (which he called the gold standard) and vertical banded gastroplasty
. A third procedure, biliopancreatic diversion, is a "drastic" operation that he does not recommend.
One of the newest surgical options for the treatment of morbid obesity is a modified version of vertical banded gastroplasty
that allows postoperative adjustment of the band, Dr.