Vertical Banded Gastroplasty

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Viewing Vertical Banded Gastroplasty

Vertical banded gastroplasty is an option available to patients looking for a weight loss surgery procedure that suits their needs. Simply put, the procedure is one of the more on-the-fence methods in that it brings together certain aspects of the aggressive Route-en-Y procedure and the more conservative laparoscopic lap band method.

By being aware of the pros and cons of vertical banded gastroplasty as opposed to other weight loss surgery techniques, you can make more informed choices about whether this procedure is better for you or not.

The simplest way to describe vertical banded gastroplasty is that it staples the stomach and at the same time attaches a band to constrict the available volume for food to reside in. The result is a small pouch where the lap band is attached into. This procedure does not alter the path of the food and does not fully detach the stomach from the digestive tract.

In contrast, a laparoscopic lap band does not perform the stapling procedure but only the attachment of the restricting band. Route-en-Y, on the other hand, completely stops the use of the top portion of the stomach, and redirects the food tract straight into the lower intestine.

With vertical banded gastroplasty, patients enjoy the strengths of both lap band and Route-en-Y. Specifically, this happens because nutrient absorption is still allowed eliminating the risks for mal-absorptive syndromes. Likewise, there are no dumping syndrome effects. Dumping syndrome, which is characterized by vomiting and nausea, happens when undigested food enters the small intestine too quickly. The fact that the food still passes through the stomach is the reason why dumping syndrome problems are not observed when a VGB is used.

On the other hand, there are multiple disadvantages of this procedure that patients need to watch out for. For one, the small pouch requires a strict adherence to a defined diet. Likewise, this procedure is not as readily reversible as the lap band method. Patients also need to remember that vertical banded gastroplasty still requires major lifestyle changes, particularly in eating, for the procedure to produce results.

With the advancement in weight loss surgery methods, vertical banded gastroplasty is definitely on the way out to be superseded by less invasive methods like the laparoscopic lap band surgery. Still, there are more than a few patients who prefer the on-the-fence approach of the VGB which is why there are still many who continue to seek for this as an option.

Only your doctor can determine if vertical banded gastroplasty is the right procedure for you. As long as you understand the pros and cons as well as the resulting lifestyle demands at post surgery, and you are willing to commit yourself to following the prescribed routine, then you should be okay with vertical banded gastroplasty.