Vertical Banded Gastroplasty

Vertical banded gastroplasty, also known as “stomach stapling” is a purely restrictive bariatric surgery procedure where the stomach is stapled and divided, forming a a small pouch and limits the amount of food that can be taken in. The outlet of this new pouch is restricted by a band that helps create a feeling of fullness and decreases appetite. The band used in this procedure is non-adjustable which is part of the reason why this form of surgery has been falling out of favor with bariatric surgeons in recent years. Newer procedures make use of adjustable bands and do not require staples making newer methods much safer options.

Advantages of Vertical Banded Gastroplasty

  • Patient avoids “dumping syndrome”
  • There is no nutritional deficiencies since this is not a malabsorptive procedure

Disadvantages of Vertical Banded Gastroplasty

  • Success based upon patients strict adherence to diet
  • Classified by the American Medical Association as a “Severely Dangerous” operation
  • High fiber foods and denser natural foods become harder to eat while highly refined junk foods are easier to digest, making adherence to a healthy diet more difficult
  • Reversal of procedure is very difficult
  • Band is not adjustable

While there are instances where vertical banded gastroplasty (stomach stapling) may be the best option for you, it has been falling out of favor in recent years for more effective and safer procedures. There are still many very reputable doctors and hospitals performing this procedure all around the country. You should discuss all of your options with your doctor before making your choice for bariatric surgery.

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