Advertisement

Obesity Surgery

, Volume 11, Issue 4, pp 487–490 | Cite as

Complications after Gastroplasty and Gastric Bypass as a Primary Operation and as a Reoperation

  • Stefano Cariani
  • Daniela Nottola
  • Sergio Grani
  • Giovanni Vittimberga
  • Andrea Lucchi
  • Enrico Amenta
Article

Background: Since 1991 we performed vertical banded gastroplasty (VBG) as our surgical treatment of choice for morbid obesity in 680 patients, and since 1996 we also performed Roux-en-Y gastric bypass (RYGB) in 36 patients. For revisional surgery, the surgeons chose procedures based on their experience. Methods: We recorded early complications (0.6%) and late complications (8.5%) after the primary operations.When staple-line disruption or stenosis of the banded stoma occurred after VBG, revisional surgery was performed with re-VBG or conversion to RYGBP. Some early complications needed emergency operation for bleeding or gastric perforation. Results: Mortality was zero. Reoperation with reVBG and RYGBP was effective in all patients, but for many, a long stay in hospital was necessary because reoperation had a high rate of early and late complications, 33.8% and 21.8% respectively. Conclusion: The treatment of complications after VBG with re-VBG and RYGBP had danger.We believe that when VBG failure occurs, to avoid dangerous complications again, we should perform a biliopancreatic diversion, which does not involve a gastric restriction.

MORBID OBESITY BARIATRIC SURGERY GASTRIC SURGERY GASTRIC BYPASS SURGICAL COMPLICATIONS REOPERATION 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer 2001

Authors and Affiliations

  • Stefano Cariani
    • Daniela Nottola
    • Sergio Grani
    • Giovanni Vittimberga
    • Andrea Lucchi
    • Enrico Amenta

    There are no affiliations available

    Personalised recommendations