Gastric Lumen Obstruction after Open VBG and Guillain-Barré Syndrome Following Revisional Surgery: A Case Report

Excerpt

Bariatric surgery is the only proven treatment for extreme obesity that has a long-term impact on sustaining weight loss and improving underlying disorders such as diabetes, hypertension, and dyslipidemia [1, 2]. Throughout the history of bariatric surgery, many methods and techniques have been tried and applied in the hope of finding a safe and cost-effective method. As one of these methods, vertical banded gastroplasty (VBG) was first described by Mason in 1982 and dramatically gained popularity until the 1990s [3]. However, in the long run, several significant complications were reported for this technique, such as gastric perforation, gastric outlet obstruction (GOO), band erosion, severe gastroesophageal reflux, and weight regain (up to 61% of cases) [4]. Therefore, this operation was gradually abandoned, although it is still done in some centers. In cases of gastric outlet obstruction, conversion to Roux-en-Y gastric bypass (RYGB) or reversal of VBG, including gastrogastrostomy, is required [5‐7]. …