Vertical Banded Gastroplasty vs the Sleeve

Calif_Princess
on 7/28/08 5:30 pm - Louisville, KY
RNY on 01/26/09 with
Okay, so what's the difference between the Vertical Banded Gastroplasty and the Vertical Sleeve Gastrectomy??

Sorry for the stupid questions....just trying to learn.

~Melissa~
Start 286/Current 265/ Goal 140

 

 


 

 

 

    

Ms_DeB
on 7/28/08 5:37 pm - Waycross, GA
VSG on 11/01/08 with
Don't know this to be fer true or not but here awhile back I was surfing through the net and came across a study that was being done in New Jersey. These doctors would basically flip a coin between say you and Jane Doe and one of you would get a "banded" RNY and the other would get just a plain RNY and then they would follow you and study you for however long, I really don't remember the specifics. But the best part of it was it was FREE!!! Just to be a part of this experiment! Well me and my hubby talked alot about it and decided not to do it. Basically it was because we were scared...I don't know if this is what your referring to but I hope it helps in some way....
faufins
on 7/28/08 5:56 pm - San Carlos, CA
I don't think anyone does the VBG anymore.  It is kinda outdated.  Why get another foreign body put in you when the VSG does it all gut fine.
Margo



"To thine own self be true"
AlmaRene
on 7/28/08 5:59 pm - Woodhaven, MI
You know what they say---the only stupid question is a question that is never asked. The difference between VBG and VSG is the procedure and the results. VSG is a banana of a pouch---the stomach remains intact from the esophogus down to the duodenum, but the fundus part is gone. In other words, the curved reservoir part is cut away leaving you a tube of a stomach that is long and narrow. The is no need for a gastric band. In the VBG, there is a hole created in the middle of the stomach using a circle of staples, kind of like a handle in a milk jug. It divides the stomach into 2 sections---the upper pouch and a lower larger section. Both sections are linked by a narrow passageway. And it uses a gastric band to maintain the restrictiveness of the stomach. This operation was meant to overcome the problems of earlier method of stomach stapling. In this way, you get a smaller reservior for food that makes you feel full faster. The VBG has since been replaced by the Band.
"The less effort, the faster and more powerful you will be."  ---Bruce Lee
AmandaLP
on 7/28/08 6:07 pm - TX
VSG on 12/20/07 with
the VBG is an outdated surgery. It creates a small pouch by putting in a non adjustable band around part of the stomach, then stapling the stomach to create a pouch. What happens with this (and with non transected RNYs, where the pouch is not completly separated from the stomach) is that the staple line disrupts and the stomach grows back together, and you lose restriction.

with the VSG, we remove part of the stomach. We also remove ghrelin, which makes the VSG one of the best surgeries out there (along with the DS).
FatGirlShrinking.com , my blog :-)
Ms_DeB
on 7/28/08 6:14 pm - Waycross, GA
VSG on 11/01/08 with
That was a great explaination...I would have never known, thx almarene and amanda...
celticfaery
on 7/28/08 6:21 pm - Walker, LA
DS on 10/11/12


  The VBG leaves the stomach intact whi*****ludes the gland that produces the hunger hormone.  With the sleeve they remove that along with the stretchy-est part of the stomach, the fundus... 

Sleeved 6/2007 - Switched 10/2012 

    

~~Sami~~ *.
on 7/28/08 7:09 pm - Jacksonville, FL
Revision on 07/07/08 with
The VBG is rarely done anymore.  Most surgeons stopped doing it prior to 1998 when I first started researching WLS.  The results were so bad with it.  Very low long-term weight loss.  Very high reop rates.  It used to be that a majority of the DS revisions were ex-VBGers... now they seem to be a mix of Lap-Banders and RNYers.

From a physiological standpoint, differences are huge. You don't have the reduction in ghrelin with a VBG.  You have to deal with food getting stuck and food intolerances like with a Band. 

If I went to a surgeon and he still did the VBG and promoted it, I would have serious concerns about using him/her.

Lap-Band June 14, 2001. Dr. Rumbaut, Monterrey, Mexico.
Lap-Band removed after 7 years and converted to Sleeve Gastrectomy on July 7, 2008 by Dr. Roslin.  I've had three happy healthy Lap-Band babies.... and one VSG baby.  5 years out from revision to VSG.  Gained 55 pounds in past 5 months, now considering DS. :(

 

Calif_Princess
on 7/28/08 7:21 pm - Louisville, KY
RNY on 01/26/09 with
Thanks guys for the info!!  Sorry for such basic questions.  The VSG is definitly Better!!  Thanks again!

~Melissa~
Start 286/Current 265/ Goal 140

 

 


 

 

 

    

Calif_Princess
on 7/28/08 7:28 pm - Louisville, KY
RNY on 01/26/09 with
WOW, thanks guys for all the information.  So there's quite a big difference.  The Sleeve is looking better and better.  How's the weight loss with the Sleeve vs the DS or the RNY?

~Melissa~
Start 286/Current 265/ Goal 140

 

 


 

 

 

    

MacMadame
on 7/28/08 10:58 pm - Northern, CA
According to recent studies, it's comparable to RnY.

However, the sleeve has only been done as a standalone procedure for about 5-6 years and at first they were sizing the stomach quite a bit larger than they do now so there isn't a lot of data published that follows patients with the smaller sleeves for more than 3 years.

From my research, it seems that the farther out you go, the more the results converge on a 50% EWL no matter what surgery you have. I saw a slide at a surgeon's seminar that showed 55% for RnY and 51% for Lap Band at 14 years out, for example.

Now, I think EWL (excess weight loss) is not necessarily the best measure of success and these numbers that are an average of all WLS patients can be misleading. After all, if 50% of the people gain every drop back and 50% stay at goal, that's a 50% EWL but it means your odds are only 50/50 of being healthy. That would suck!

What I really want to know is what percentage get to goal, what percentage stay at goal, what percentage do regain but still retain significant weight loss and what percentage gain every last drop back. Those numbers are pretty much impossible to come by. I have seen both 75% and 80% retaining significant weight loss (over 50% EWL) thrown out there but not in any scientific articles, just conversations and newspaper articles.

I think how successful you will be comes down to what your food issues are and how committed you are to dealing with them. Different surgeries work better with different personality types and food issues than others and some food issues/personalities will do well with *any* WLS and, conversely, some will sabotage any WLS.

For me, the sleeve makes sense because my primary issue is hunger. I am hungry every 1-2 hours and I rarely feel full. The sleeve and the DS have the best hunger control -- because the DS has a sleeve component. I don't need malabsorption though because I already have decent eating habits -- not the best, but I love a lot of healthy foods and am not fond of a lot of junk -- I couldn't survive on a typical DS diet, for example. I just can't eat that much fat.

The other cool thing about the sleeve is that you can revise it to anything. If a few years out, I find I really do need malabsorption after all, I can get it turned into a modified RnY, a DS or even put a lap band around it. Hopefully it won't come to that, though.

HW - 225 SW - 191 GW - 132 CW - 122
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Calif_Princess
on 7/29/08 2:08 pm - Louisville, KY
RNY on 01/26/09 with

Thanks!!  You're so informative.  The sleeve certainly looks like the best choice out there.  I also don't eat a lot of junk food, even when I was a Vegan I didn't lose weight.  My problem is portion size...

~Melissa~
Start 286/Current 265/ Goal 140

 

 


 

 

 

    

MacMadame
on 7/29/08 7:54 pm - Northern, CA
Restrictive surgeries are great for portion size issues!

I have been looking into this since Feb. I knew I couldn't get off work easily until Sept-Oct so I passed the time doing research. I've got over 100 bookmarks and downloaded pdfs! I'm now starting to print off selected ones and mark them up with highlighter and pen just like I'm back in school. My surgeon probably thinks I'm nuts! I know my family does.

HW - 225 SW - 191 GW - 132 CW - 122
Visit my blog at Fatty Fights Back      Become a Fan on Facebook!
Starting BMI 40-ish or less? Join the LightWeights