Bariatric revisionary surgery for failed or complicated vertical banded gastroplasty (VBG): Comparison of VBG reoperation (re-VBG) versus Roux-en-Y gastric Bypass-on-VBG (RYGB-on-VBG)

Background. revision of failed bariatric procedures is a significant challenge for bariatric surgeons,because of the increasing number of recurring morbid obesity or complications,especially in patients with a previous vertical banded gastroplasty (vbg). methods. since november 1998,109 patients with failed or complicated vbg were followed in a retrospective study. 49 patients underwent re-vbg and,since 2004,60 underwent roux-en-y gastric bypass-on-vertical banded gastroplasty (rygb-on-vbg). results. at 3 years follow-up,mean bmi decreased from 37.4 to 31.2 kg / m 2 in the first group,and from 35.0 to 28.4 kg / m 2 in the second. early complications were 7 (14.3%) in the first group and 4 (6.5%) in the second; late complications were 33 (59.1%) and 11 (18.3%),respectively. conclusion. although both operations seem to be effective as bariatric revision procedures in terms of bmi,the mid-term outcomes of rygb-on-vbg demonstrate the lowest rate of complications and better quality of life. © 2010 stefano cariani et al.