Options for restrictive surgery

Options for restrictive surgery

• Vertical-banded gastroplasty: A stapling device is used to divide the stomach vertically along the lesser curve starting at the angle of His to create a small (20-mL) pouch. A prosthetic nonadjustable device is then wrapped around the outlet of the pouch to prevent it from dilating over time. This operation has fallen out of favor because of poor long-term weight loss and issues with GERD and pouch obstruction, and is no longer performed. This operation is frequently converted to a gastric bypass. The mistake often made is to dilate the outlet of the pouch, but with a fixed band this approach usually does not work.

• Gastric banding: This procedure is performed laparoscopically and involves placement of an adjustable silicone band around the top of the stomach to create a small (15-mL) pouch. The band is connected to a reservoir placed in the subcutaneous tissue that enables band adjustment.

• Sleeve gastrectomy: This procedure is gaining in popularity and involves stapling and removing a majority of the gastric body and fundus, leaving the lesser curvature and a small amount of antrum. The pylorus remains intact. The staple line is usually formed over a bougie sized between 32 and 40 French.


Sign up to receive the trending updates and tons of Health Tips

Join SeekhealthZ and never miss the latest health information

Scroll to Top