Results of silastic ring vertical gastroplasty more than 6 years after surgery: analysis of a cohort of 214 patients.
BACKGROUND
Among the different techniques of surgical treatment for morbid obesity, silastic ring vertical gastroplasty (SRVG) is an alternative, effective and easily reproducible technique. The aim of this study is to evaluate a cohort of patients >6 years after SRVG for morbid obesity.


METHODS
From 1991 to 1996, 273 consecutive patients were eligible for SRVG. The evaluation criteria included weight loss, evolution of co-morbidities, long-term morbidities, satisfaction of patients and quality of life.


RESULTS
Among these 273 patients, 1 patient died in the postoperative period (0.4%). Postoperative morbidities occured in 27 patients (10%). The long-term follow-up involved 213 patients (78%). Late postoperative complications consisted of outlet stoma stenosis (14%), staple-line dehiscence (5.6%) and incisional hernia (8.5%). 23 patients (10%) needed a re-do operation. Co-morbidities drastically improved. BMI fell from 45.3 to 30.7. Failure of SRVG was statistically associated with male gender and super-obese patients. 69% of the patients were satisfied, and 73% would recommend this operation.


CONCLUSIONS
SRVG is very effective in a selected group of morbidly obese patients.
Closset
J
J
Medicosurgical Department of Gastroenterology, Erasmus Hospital, Free University of Brussels, Route de Lennik 808, 1070 Brussels, Belgium. jclosset@ulb.ac.be
Mehdi
A
A
Barea
M
M
Buedts
K
K
Gelin
M
M
Houben
J J
JJ
D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D017211:Treatment Failure; D015431:Weight Loss