Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract.
BACKGROUND
Cancer, perforation and bleeding in the bypassed stomach after RYGBP are rare but serious complications that require early diagnosis. Our goal was to perform a Roux-en-Y gastric bypass (RYGBP) whereby the traditional endoscopic and x-ray study of the bypassed stomach was possible, and at the same time obtain a good weight loss, similar to the standard RYGBP. We developed the RYGBP-on-Vertical banded gastroplasty (RYGBP on VBG), where a Goretex band surrounds the gastro-gastric outlet.


METHODS
From June 2002 to September 2005, 128 patients, 94 female and 34 male, with age 50.5 +/- 14.8 SD years, BMI 51.6 +/- 7.2 SD kg/m2, and %EW 117.9 +/- 33.5 SD underwent RYGBP on VBG via an open approach. Radiological and, if necessary, endoscopic study has been carried out at 6 months, 1 year and then annually postoperatively.


RESULTS
Two cases of anastomotic ulcer were detected, but no case of infection of the prosthetic material was found. Preoperative BMI fell from 51.6 +/- 7.2 to 38.1 +/- 6.6 after 6 months, to 35.0 +/- 7.1 after 1 year, to 34.4 +/- 6.1 after 2 years, and to 33.2 +/- 5.5 after 3 years.


CONCLUSIONS
RYGBP on VBG was effective; the weight loss curve, compared to standard RYGBP, is similar, while allowing the traditional x-ray and endoscopy of the bypassed stomach and thus the biliary tract.
Cariani
Stefano
S
Dipartimento Emergenza/Urgenza, Chirurgia Generale e dei Trapianti, Unità Operativa semplice di Terapia Chirurgica dell'Obesità Patologica, Azienda Ospedaliero-Universitaria di Bologna, Italia. stefano.cariani@unibo.it
Amenta
Enrico
E
D000328:Adult; D001660:Biliary Tract Diseases / Q000175:diagnosis*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D018530:Gastric Stump; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis*; D019736:Prostheses and Implants; D013272:Stomach Diseases / Q000175:diagnosis*; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene