Micropouch vertical banded gastroplasty - new technique evaluation

ABSTRACT

In this study, 500 patients underwent the micropouch vertical banded gastroplasty [VBG], the median age was 35 years with a median preoperative BMI of 70 kg/m. The micropouch was constructed using single TLH55 stapler through a mini incision. The outlet of the tubular micropouch was banded with a prolene mesh. 98% of the patients showed a good control of their weight within five years and 2% started to gain weight after the first year. The mean operating time was 35 minutes. The use of small single stapler allowed the procedure through a mini incision. The incidence of intraoperative gastroesophageal perforation was 0.6%. The incidence of postoperative leak was 0.2%. Thirty patients were complaining of solid food intolerance. The mortality rate was 0.6%