Abstract

To evaluate the effects of vertical banded gastroplasty (VBG) for morbid obesity associated with various complications, the changes in their obesity indexes and complications following surgery were observed. Thirty-six patients with simple obesity have been treated with VBG in our institute for these six years. The obesity index, which was 213±27% preoperatively, decreased to 150±18% at 6 months, 142±19% at one year, 141±17% at 3 years or 141±9% at 5 years after surgery. Obesity-related complications were preoperatively noted in high frequencies, such as 86% for fatty liver, 78% for glucose intolerance, 72% for arthritis, 67% for hyperlipidemia, and 44% for hypertention. With a loss of excess weight, these figures decreased to 9% for fatty liver, 9% for glucose intolerance, and 9% for hyperlipidemia at 3 years after surgery. Surgical complications, which were minor and treatable, were seen in 8.3%.These results clearly demonstrate that the vertical banded gastroplasty is effective to reduce excess weight as well as complications of morbid obesity.

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