Revision of Failed Vertical Banded Gastroplasty to Non-resectional Scopinaro Biliopancreatic Diversion: Early Experience

Abstract

Our technique for revision of a failed restrictive operation to a non-resectional Scopinaro BPD is described. The preliminary results in terms of %EWL and complications are comparable to other revisional malabsorptive operations. Prospective randomized controlled trials are needed to further evaluate effects of revision to a non-resectional Scopinaro BPD and to ensure that the results (in terms of %EWL) are reproducible.

Conversion of Failed Vertical Banded Gastroplasty to Biliopancreatic Diversion, a Wise Option

“…In patients with weight regain, after initially successful VBG, the median BMI decreased from 47.05 kg/m 2 to 35.10 kg/m 2 , at 1 year after conversion. These results are comparable to those reported by Menon et al in a series of patients with revision of failed VBG to a non-resectional Scopinaro BPD [36]. On the contrary, in the two patients who successfully lost weight after VBG but suffered from severe dysphagia, a slight increase of BMI was observed.…”

Clinical application of laparoscopic bariatric surgery: an evidence-based review

“…Reoperation on a previous gastroplasty usually involves creating a Roux-en-Y, if not already present, to a newly stapled proximal stomach pouch above all prior gastric interventions [227][228][229][230]. However, BPD, AGB, and other operations also have been used in this setting [231][232][233]. Likewise, most authors advocate RGB for revision of AGB because of complications or insufficient weight loss [217][218][219], although other operations have been applied [234,235].…”

SAGES guideline for clinical application of laparoscopic bariatric surgery

“…Reoperation on a previous gastroplasty usually involves creating a Roux-en-Y, if not already present, to a newly stapled proximal stomach pouch above all prior gastric interventions [227][228][229][230]. However, BPD, AGB, and other operations have also been employed in this setting [231][232][233]. Likewise, most authors advocate RGB for revision of AGB because of complications or insufficient weight loss [217][218][219], although other operations have been applied [234,235].…”