Vertical Banded Gastroplasty -- Open Surgery
Vertical Banded Gastroplasty—Open Surgery
(Stomach Stapling; Bariatric Surgery; Weight-Reduction Surgery)
|This surgery involves re-shaping the stomach to reduce the amount of food it can hold.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- BMI greater than 40
- BMI 35-39.9 and a life-threatening condition or severe physical limitations that affect employment, movement, and family life
- Weight reduction
- Improvement in many obesity-related conditions
- Improved movement and stamina
- Enhanced mood, self-esteem, and quality of life
- Blood clots
- Breakdown of the staples, allowing stomach juices to leak into the abdomen
- Slipping or wearing away of the band
- Enlargement of the pouch
- Irritation of the throat due to acid reflux
- Hernia formation
- Complications of general anesthesia
What to Expect
Prior to Procedure
- Thorough physical exam and review of medical history
- Ongoing consultations with a registered dietitian
- Mental health evaluation and counseling
- Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to 1 week before the procedure.
- Do not start any new medications, herbs, or supplements without talking to your doctor.
- Arrange for a ride to and from the hospital.
- Arrange for help at home as you recover.
- You may be given antibiotics.
- You may be given laxatives and/or an enema to clear your intestines.
- The night before, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.
- Shower or bathe the morning of your surgery.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medication will be given as needed.
- Day of surgery—You will not eat or drink anything.
Day after surgery—You will likely have an
to check for leaks from the stomach pouch. You will drink a special liquid while x-rays are taken.
- If this x-ray is normal, you will be given 30 milliliters (mL) of liquids every 20 minutes.
- If leaks are found, you will receive nutrition through an IV until the leaks are fixed.
- On the second day after surgery—You will have1-2 tablespoons of pureed food or 1-2 ounces of liquids every 20 minutes.
You may be asked to do the following:
- Use an incentive spirometer to take deep breaths every hour to prevent breathing problems.
- Wear elastic surgical stockings or boots to promote blood flow in your legs.
- Get up and walk daily.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Do not lift anything heavy for at least 2 weeks.
- You may have emotional changes after this surgery. Your may be referred to a therapist.
- You need to eat very small amounts and eat very slowly.
- You will begin with 4-6 small meals per day. A meal is two ounces of food.
- For the first 4-6 weeks after surgery, all food must be pureed.
- When you move to solid foods, food must be well chewed.
- When making food choices, ensure that you are getting enough protein.
- Eating too much or too quickly can cause vomiting or intense pain under your breastbone. Most people quickly learn how much food they can eat.
- This procedure does not cause nausea and diarrhea if sweet or fatty foods are eaten. In fact, some people gain back weight because they continue to consume high-calorie foods. To promote ongoing weight loss, avoid high-calorie foods.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Persistent cough , shortness of breath, or chest pain
- Worsening abdominal pain
- Blood in the stool
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Pain and/or swelling in your feet, calves, or legs; sudden shortness of breath or chest pain
- New or worsening symptoms
American Society for Metabolic and Bariatric Surgery http://asmbs.org
Weight Control Information Network http://www.win.niddk.nih.gov
Canadian Obesity Network http://www.obesitynetwork.ca
Weight Loss Surgery http://www.weightlosssurgery.ca
Bariatric surgery. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 3, 2014. Accessed December 4, 2014.
Bariatric surgery for severe obesity. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://win.niddk.nih.gov/publications/gastric.htm. Updated June 2011. Accessed December 4, 2014.
Kendrick ML, Dakin GF. Surgical approaches to obesity. Mayo Clin Proc. 2006;81(10 Suppl):S18-24.
Maciejewski ML, Livingston EH, et al. Survival among high-risk patients after bariatric surgery. JAMA. 2011;305(23):2419-2426.
Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142:547-559.
Malinowski SS. Nutritional and metabolic complications of bariatric surgery. Am J Med Sci. 2006;331:219-225.
Olbers T, Bjorkman S, Lindroos A, et al. Body composition, dietary intake, and energy expenditure after laparoscopic roux-en-y gastric bypass and laparoscopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006;244:715-722.
9/2/2009 DynaMed Systematic Literature Surveillance http://www.ebscohost.com/dynamed: The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361:445-454.
6/24/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011;253(3):484-487.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -