Vertical Banded Gastroplasty
Generally known as “stomach stapling” operation, the “VBG” is mostly relegated to “of historical interest only” status. Percent excess weight loss was 20% at 20 years after the operation. The two main causes of failure are: 1) Tendency for patients to eat sweets. 2) Breakdown of the staple line which reforms the stomach as “whole” again. This operation is done in parts of the country, but by very few bariatric surgeons.
Open Gastric Bypass
We believe that the laparoscopic gastric bypass is the “gold standard” and is safer than the open approach. Although still done as a primary operation in the U.S. with good results. The laparoscopic approach has a faster recovery, lower wound infection rate and lower hernia rate.
Mini Gastric Bypass (aka Fobi Pouch)
WeightWise believes there is no advantage to these procedures, and in some cases patients can have persistent eating difficulty after surgery or require re-operation for complications.
Gastric Plication (aka Band Over Gastric Plication)
WeightWise agrees with the ASMBS statement that this should still be considered an investigational procedure. As such, it should only done under a study protocol with IRB oversight. Because of these restrictions, the procedure is not currently being performed by our surgeons.
Gastric Balloons were recently approved by the FDA and have started to gain popularity as a weight loss surgery procedure in the United States. Currently WeightWise is offering the ReShape Integrated Dual Balloon. To read more about gastric balloons, click here.
If you would like to sign up for one of our FREE informational seminars, with more details about the procedures we offer, please click here to register! The seminars are available via the web or in-person.