Long-term Follow-up on the Effect of Silastic Ring Vertical Gastroplasty on Weight and Co-Morbidities

Abstract

SRVG is a simple, safe and effective bariatric operation in selected patients with morbid obesity. It results in a rapid, excellent effect on obesity-related co-morbidities and good long-term effect in weight loss, which compares positively with other, more complicated bariatric operations.

Weight Loss Outcome After Silastic Ring Roux-en-Y Gastric Bypass: 8 Years of Follow-up

“…Scozzari et al [33] had 60.9% EWL with 3 years postoperative, 57% at 5 years, and 53.1% at 7 years after surgery, and others [34] had no weight regain over the years. Our data showed no significant recovery of weight after the fifth postoperative year.…”

Isolated Food Intolerance After Adjustable Gastric Banding: A Major Cause of Long-Term Band Removal

“…Again, it is a different issue from outlet stenosis and reflux that are common issues, altogether with "pouchitis" (the definition of which remains hazardous). Paran [13] reported no case of isolated intolerance (but 19% ring stenosis, and 31% reflux esophagitis) in a long-term series. Likewise, Closset [14] reported 14% of late dysphagia with stenosis and stated that only 17% of the patients experienced discomfort when eating.…”

Lap Banding as a Redo Surgery: “Restriction over Restriction” May Be a Relevant Bariatric Strategy

“…11), yet 22% of the patients were not available for follow-up. Mean follow-up duration has been 5.8 years (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

“…Outlet stenosis and reflux (or "pouchitis") are common issues as well. Paran [10] reported no case of isolated intolerance (but 19% of ring stenosis and 31% reflux esophagitis) in a long-term series. Likewise, Closset [11] reported 14% of late dysphagia with stenosis.…”

“…The average time interval between the primary VBG and the switch to lap-band was 5.8 years (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Relevant clinical data (i.e., complications or failures and weight loss) have been documented through annual visits or at least phone consultation.…”