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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 4/2013

01-04-2013 | Case Report

Conversion of Vertical Banded Gastroplasty to Stand-Alone Sleeve Gastrectomy or Biliopancreatic Diversion with Duodenal Switch

Authors: Kunoor Jain-Spangler, Dana Portenier, Alfonso Torquati, Ranjan Sudan

Published in: Journal of Gastrointestinal Surgery | Issue 4/2013

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Abstract

Introduction

Vertical banded gastroplasty (VBG) originated as a simplified bariatric operation to avoid malabsorption and provide lasting results due to a fixed stoma. Short-term results were excellent (50–70 % excess weight loss); however, patients often displayed maladaptive eating behaviors, and many failed to either achieve or sustain adequate long-term weight loss. Complications were also common including severe reflux and regurgitation, gastric outlet stenosis or stricture, gastrogastric fistula, and breakdown of the staple line.

Methods

VBG conversions to Roux-en-Y gastric bypass or sleeve gastrectomy as well as endoscopic interventions such as band removal have been described but have very high complication rates. We describe conversion of VBG to biliopancreatic diversion with duodenal switch using endoscopic guidance to take down the VBG staple line and the mesh around the outlet.

Results

This technique can also be used to safely convert a VBG to a stand-alone sleeve gastrectomy.

Conclusion

Complication rates have been low by this technique, and we encourage others to adopt this technique.
Literature
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Metadata
Title
Conversion of Vertical Banded Gastroplasty to Stand-Alone Sleeve Gastrectomy or Biliopancreatic Diversion with Duodenal Switch
Authors
Kunoor Jain-Spangler
Dana Portenier
Alfonso Torquati
Ranjan Sudan
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 4/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-013-2165-x

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