[Evaluation of the results after 5 year from a vertical banded gastroplasty: our experience].

Abstract:

BACKGROUND AND AIMS:vertical banded gastroplasty (GPV) is the most frequently performed restrictive procedure for morbid obesity, but long-term follow-up is almost nonexistent. A poor outcome after GPV and a low quality of life has been reported. The aim of the study was to determine long-term outcome after 5 years follow-up. METHODS:225 GPV were performed from 1995 to 2002. Patients were followed every month in the first three months, after 6 and 12 months, and subsequently every year. RESULTS:No mortality was observed. One gastric fistula, treated with medical therapy, was the single related complication observed. Vomiting occurred in 21.2% of patients. After 2 years 74.5% of patients had a BMI < 35, with a decrease of IEW = 50% (IEW% L 54.1%, 56.4%, and 57.1% after 12, 24 and 60 months, respectively). After 5 years, the results were unsatisfactory in 17.1% of patients; 8 patients underwent bariatric re-operation with good results. CONCLUSIONS:GPV represents a safe procedure with a low incidence of complications, with poor results in 17.1% of patients. Pre-operative identification of non responders is achievable with "BIB test". In the responders significant dietary changes are complained.

journal_name

Ann Ital Chir

authors

Ghirardi M,Mittempergher E,Vassallo R,Terraroli C,Bruni O,Bruni T

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

681-5

issue

6

eissn

0003-469X

issn

2239-253X

journal_volume

74

pub_type

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