BACKGROUND: In earlier studies of vertical banded gastroplasty (VBG), staple-line disruptions (SD) were only reported in a few per cent or less. Two recent studies have shown a significantly higher frequency of SD. To find the true frequency of SD, all patients must be examined regardless of weight outcome. METHODS: 91 consecutive patients were examined by a standardized radiological method at different postoperative intervals ranging from 6 to 48 months. RESULTS: 41 out of 91 patients developed SD. The average diameter of the disruptions was 6 mm (range 2-16 mm). During the first 2 years of follow-up, when at least 31% of the patients had developed SD, there was no significant difference in weight loss between the group with SD and the group without SD. CONCLUSION: SD is an inherent problem of VBG which has been underestimated for a long period of time. An SD frequency of 45% or more within the first few years is not acceptable and changes in the VBG technique must be considered.
BACKGROUND: In earlier studies of vertical banded gastroplasty (VBG), staple-line disruptions (SD) were only reported in a few per cent or less. Two recent studies have shown a significantly higher frequency of SD. To find the true frequency of SD, all patients must be examined regardless of weight outcome. METHODS: 91 consecutive patients were examined by a standardized radiological method at different postoperative intervals ranging from 6 to 48 months. RESULTS: 41 out of 91 patients developed SD. The average diameter of the disruptions was 6 mm (range 2-16 mm). During the first 2 years of follow-up, when at least 31% of the patients had developed SD, there was no significant difference in weight loss between the group with SD and the group without SD. CONCLUSION:SD is an inherent problem of VBG which has been underestimated for a long period of time. An SD frequency of 45% or more within the first few years is not acceptable and changes in the VBG technique must be considered.
Authors: Stephan Hjorth; Ingmar Näslund; Johanna C Andersson-Assarsson; Per-Arne Svensson; Peter Jacobson; Markku Peltonen; Lena M S Carlsson Journal: JAMA Surg Date: 2019-04-01 Impact factor: 14.766
Authors: Viviane Thill; Roudabeh Khorassani; Christian Ngongang; Nele Van De Winkel; Pierre Mendes da Costa; Christian Marie Simoens Journal: Obes Surg Date: 2009-09-16 Impact factor: 4.129
Authors: J Devière; G Ojeda Valdes; L Cuevas Herrera; J Closset; O Le Moine; P Eisendrath; C Moreno; S Dugardeyn; M Barea; R de la Torre; S Edmundowicz; S Scott Journal: Surg Endosc Date: 2007-11-01 Impact factor: 4.584