Other Bariatric Procedures

Roux-en-Y Gastric Bypass on Vertical Banded Gastroplasty (RYGB-on-VBG) , is a technical change of the standard Roux-en-Y Gastric Bypass (RYGB) with the goal to obtain a gastric bypass where it was possible to make the traditional endoscopy and x-ray study of the excluded stomach, conceived in 2002 after a pilot study performed with a functional gastric bypass for the same objective. In the midterm the RYGB-on-VBG procedure reached similar outcomes as standard techniques of gastric bypass, both in terms of weight loss and incidence of surgical complications, and achieved the same good results when performed in other bariatric surgery centres proving therefore to be operator-independent, while enabled traditional diagnostic evaluation of the bypassed stomach and biliary tract. Progressively, outcomes of RYGB-on-VBG have been presented at international meetings and published , also when adopted as conversion after failures of gastric restrictive procedures. This paper reports the long term results of patients who underwent RYGB-on-VBG in a single centre, with up to 12 years clinical follow-up.