Vertical Banded Gastroplasty

Vertical banded gastroplasty (VBG) is a type of weight loss surgery that was popular in the 1980s and early 1990s, but has since been largely replaced by other bariatric procedures such as gastric bypass and sleeve gastrectomy.

During the VBG procedure, the surgeon creates a small pouch in the stomach using a band and staples. The band creates a small opening between the pouch and the rest of the stomach, which helps to restrict the amount of food that can be consumed at one time. The band is then reinforced with a vertical row of staples, which helps to prevent stretching of the pouch over time.

VBG is considered a restrictive weight loss surgery, meaning that it restricts the amount of food that can be consumed by creating a smaller stomach pouch. However, it is less effective at achieving long-term weight loss than other bariatric procedures, and has a higher rate of complications and revision surgeries.

Complications associated with VBG can include staple line disruption, band erosion or slippage, food intolerance, and acid reflux. In addition, over time the pouch can stretch, which can reduce the effectiveness of the procedure and increase the risk of weight regain.

Due to the higher rate of complications and the availability of more effective bariatric procedures, VBG is now considered a less common and less preferred option for weight loss surgery. It is important to discuss the potential risks and benefits of VBG, as well as alternative procedures, with a qualified healthcare provider before deciding which weight loss surgery option is right for you.