Vertical Banded Gastroplasty (VBG) Revision Surgery

Patients who have had Vertical Banded Gastroplasty (VBG) or other "stomach stapling" procedures, generally seek revision weight loss surgery for two reasons, 1) weight regain and, 2) maladaptive eating. While some failed Vertical Banded Gastroplasty cases can treated by re-stapling and re-banding, the majority of these cases require conversion to a more substantial procedure. Since many patient's bodies are reluctant to lose weight after a failed weight loss surgery, restriction alone will not cause adequate weight loss, therefore conversion to a more metabolically active weight loss surgery is necessary. Revising the Vertical Banded Gastroplasty or other stomach stapling procedure to Duodenal Switch is one option that can be performed laparoscopically. For individuals who have had Vertical Banded Gastroplasty, removing the band is not always needed during a revision to Duodenal Switch.

Since there is a significant number of different stomach stapling procedures, there are a variety of ways an individual's anatomy may change after surgery making it necessary that each case be treated uniquely.

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This information has been provided by Dr. John Husted. To learn more about Dr. Husted, please visit