Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Boasten, Michelle. Weight Loss Surgery: Understanding and Overcoming Morbid Obesity. Akron, OH: FBE Service Network & Network Publishing, 2002.
Flancbaum, Louis, MD, with Erica Manfred and Deborah Biskin. The Doctor's Guide to Weight Loss Surgery. West Hurley, NY: Fredonia Communications, 2001.
"Nutritional Disorders: Obesity." Section 1, Chapter 5 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers, MD, and Robert Berkow, MD. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
PERIODICALS
Balsiger, B. M., J. L. Poggio, J. Mai, et al. "Ten and More Years After Vertical Banded Gastroplasty as Primary Operation for Morbid Obesity."Journal of Gastrointestinal Surgery 4 (November-December 2000): 598-605.
Buchwald, H. "A Bariatric Surgery Algorithm."Obesity Surgery 12 (December 2002): 733-746.
Buchwald, H., and J. N. Buchwald. "Evolution of Operative Procedures for the Management of Morbid Obesity 1950–2000."Obesity Surgery 12 (October 2002): 705-717.
Cigaina, V. "Gastric Pacing as Therapy for Morbid Obesity:Preliminary Results."Obesity Surgery 12 (April 2002), Supplement 1: 12S-16S.
Cummings, S., E. S. Parham, and G. W. Strain. "Position of the American Dietetic Association: Weight Management."Journal of the American Dietetic Association 102 (August 2002): 1145-1155.
Davila-Cervantes, A., D. Borunda, G. Dominguez-Cherit, et al. "Open Versus Laparoscopic Vertical Banded Gastroplasty: A Randomized Controlled Double-Blind Trial."Obesity Surgery 12 (December 2002): 812-818.
Fisher, B. L., and P. Schauer. "Medical and Surgical Options in the Treatment of Severe Obesity."American Journal of Surgery 184 (December 2002): 9S-16S.
Guisado, J. A., F. J. Vaz, J. Alarcon, et al. "Psychopathological Status and Interpersonal Functioning Following Weight Loss in Morbidly Obese Patients Undergoing Bariatric Surgery."Obesity Surgery 12 (December 2002): 835-840.
Magnusson, M., J. Freedman, E. Jonas, et al. "Five-Year Results of Laparoscopic Vertical Banded Gastroplasty in the Treatment of Massive Obesity."Obesity Surgery 12 (December 2002): 826-830.
Schauer, P. R., and S. Ikramuddin. "Laparoscopic Surgery for Morbid Obesity."Surgical Clinics of North America 81 (October 2001): 1145-1179.
Shai, I., Y. Henkin, S. Weitzman, and I. Levi. "Long-Term Dietary Changes After Vertical Banded Gastroplasty: Is the Trade-Off Favorable?"Obesity Surgery 12 (December 2002): 805-811.
Sugerman, H. J., E. L. Sugerman, E. J. DeMaria, et al. "Bariatric Surgery for Severely Obese Adolescents."Journal of Gastrointestinal Surgery 7 (January 2003): 102-108.
ORGANIZATIONS
American Obesity Association (AOA). 1250 24th Street NW, Suite 300, Washington, DC 20037. (202) 776-7711 or (800) 98-OBESE.
American Society of Bariatric Physicians. 5453 East Evans Place, Denver, CO 80222-5234. (303) 770-2526.
American Society for Bariatric Surgery. 7328 West University Avenue, Suite F, Gainesville, FL 32607. (352) 331-4900.
International Bariatric Surgery Registry (IBSR). University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242. (800) 777-8442.
Weight-control Information Network (WIN). 1 WIN Way, Bethesda, MD 20892-3665. (202) 828-1025 or (877) 946-4627.
OTHER
FDA Talk Paper. FDA Approves Implanted Stomach Band to Treat Severe Obesity. T01-26, June 5, 2001 [cited March 18, 2003].
MacGregor, Alex, MD. The Story of Surgery for Obesity.
NIH Consensus Statement Online. Gastrointestinal Surgery for Severe Obesity, March 25–27, 1991 [cited March 16, 2003]; 9 (1): 1-20.
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The animation describes gastric bypass surgery, gastric band surgery, and sleeve gastrectomy. As explained in the video, these procedures use either restrictive or malabsorptive approaches to weight loss, or both.
Other Information
Vertical banded gastroplasty (VBG), also known as stomach stapling, is a restrictive operation for weight control. Both a band and staples are used to create a small stomach pouch. In the bottom of the pouch is an approximately one-centimeter hole through which the pouch contents can flow into the remainder of the stomach and thence onto the remainder of the gastrointestinal tract.
Stomach stapling is a restrictive technique for managing obesity. The pouch limits the amount of food a patient can eat at one time and slows passage of the food. Stomach stapling is more effective when combined with a malabsorptive technique, in which part of the digestive tract is bypassed, reducing the absorption of calories and nutrients. Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine, bypassing the lower stomach, the duodenum, and the first portion of the jejunum.
This type of weight loss surgery is losing favor as more doctors begin using the adjustable gastric band. The newer adjustable band does not require cutting into the stomach and does not use any staple lines, thus making it a much safer alternative.
VBG is known in the medical community as a very serious and dangerous procedure. It has been classified by the AMA as a "severely dangerous" operation.
From http://en.wikipedia.org/wiki/Vertical_banded_gastroplasty_surgery
Other Information
Average excess weight loss at five years is 48-74 percent after gastric bypass and 50-60 percent after vertical banded gastroplasty -2004
From: Bariatric-Surgery.info
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