[Evaluation of the results after 5 year from a vertical banded gastroplasty: our experience].
OBJECTIVE
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.
Ghirardi
M
M
Università degli Studi di Brescia, Cattedra di Chirurgia Generale, Divisione di I Chirurgia Generale, Azienda Spedali Civili di Brescia.
Mittempergher
E
E
Vassallo
R
R
Terraroli
C
C
Bruni
O
O
Bruni
T
T
D000328:Adult; D000465:Algorithms; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology