Vertical banded gastroplasty for the treatment of morbid obesity

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Abstract
Prospective evaluation of 114 obese patients (96 women, 18 men) undergoing vertical banded gastroplasty over a 5-year period was undertaken. The age range was 17–58 (median 37) years, median weight 119·3 (range 79–216) kg, mean(s.d.) proportion of excess body-weight 104·1(34·9) per cent and median body mass index (BMI) 44·8 (range 33·2–77·7) kg/m2. Three gastric outlet stoma circumferences were used: 5·5 cm (31 patients), 5·0 cm (28) and 4·75 cm (55). A total of 109 patients (95·6 per cent) were available for follow-up. At 1 year after operation, 54 patients (59 per cent) had lost greater than 50 per cent of excess body-weight. No patient lost less than 25 per cent of excess body-weight, and the median BMI was 32·5 (range 21·3–47·8) kg/m2. The operative mortality rate was zero, but three patients (2·6 per cent) with gastric leakage required surgical revision. Vertical banded gastroplasty is a relatively safe and simple procedure that produces significant and sustained weight reduction in the majority of morbidly obese patients.