Results of Silastic Ring Vertical Gastroplasty More Than 6 Years after Surgery: Analysis of a Cohort of 214 Patients

Abstract

SRVG is very effective in a selected group of morbidly obese patients.

Análise radiológica das alterações gastrintestinais após cirurgia de Fobi-Capella

“…Ulcers may be caused by exposure to gastric acids from the gastrojejunal anastomosis or by ischemia. Studies in the literature report ulcers occurrence in 1% to 5% of cases, however, no case of ulcer was found in the present study (14)(15)(16)(17) . The present study has found one case of bezoar (2.4%), while the literature reports a 1.9% incidence (19) .…”

“…In the present casuistic, 4.8% of patients presented sliding of the silicone ring, and in 2.4% of cases, the ring could not be visualized because of its removal due the patient´s intolerance. Closset et al, who have followed-up 214 patients, have reported the ring removal in 4.2% of cases (15) . Plain radiography plays an extremely significant role in the definition of the silicone ring presence and topography (Figure 4).…”

Safety, feasibility and weight loss after transoral gastroplasty: First human multicenter study

“…Surgery is currently the most effective way to achieve and maintain significant weight loss in cases of morbid obesity [1,7,20]. Bariatric surgery has grown dramatically over the past 15 years in Western countries [5,21] but also worldwide [22,23] and gastric restrictive procedures remain widely used in these patients [1,10,24]. While hospitalization times and complication rates of bariatric surgery are declining, these procedures, at least in our experience, require hospitalization, restrictions in physical activity, work loss, and are associated with complication rates ranging from 3% to 20%, among which those associated with the incision of thickened abdominal wall are not negligible.…”

“…While hospitalization times and complication rates of bariatric surgery are declining, these procedures, at least in our experience, require hospitalization, restrictions in physical activity, work loss, and are associated with complication rates ranging from 3% to 20%, among which those associated with the incision of thickened abdominal wall are not negligible. Complications include hernias, fistulas, and leaks (mainly after bypass), and obstruction, infection and longer-term complications of implants [9,10,25]. In light of these surgical and implant-related complications, a peroral restrictive procedure that also does not transect the GI tract and does not involve a surgical implant might be less invasive than surgery or laparoscopy.…”

“…Other long-term complications can occur with implanted devices [1,9,10]. For these reasons, among others, a transoral technique that would allow endoluminal restrictive surgery would be attractive.…”