Vertical Banded Gastroplasty Or Stomach Stapling

Your Featured Promo!!!

Vertical Banded Gastroplasty Or Stomach Stapling


The vertical banded gastroplasty  also referred to as stomach stapling was first introduced as an obesity surgical technique by Edward Mason in 1980 at the University of Iowa. It is designed as a restrictive obesity surgical technique which means no malabsorption is encountered as a result, if you undergo this surgical procedure. Restriction implies you eat less food quantities, so consume less calories which inevitably leads to weight loss.

Naturally, being only a restrictive technique has implications in terms of its long term success rate.

 How is vertical banded gastroplasty or stomach stapling performed?

Vertical banded gastroplasty or stomach stapling is done by applying vertical staples along the wall of the stomach (instead of horizontal staples that were hugely unsuccessful) to reduce the size of the stomach.

A gastric band is then applied after the initial stomach stapling. Both steps of this procedure aim to “divide” the stomach into 2 unequal parts. A smaller upper part which is basically a pouch and a much larger lower part, both parts separated by a silicone band.

Connecting the pouch (the upper part) and lower part is a small outlet through which digested food is let through and consequently to the rest of the alimentary canal.

Vertical banded gastroplasty can be performed either through keyhole (laparoscopic) surgery or via open surgery.

The laparoscopic approach is preferred as it leads to shorter stay in hospital and quicker recovery as well.

 How does vertical banded gastroplasty or stomach stapling work?

As explained above, the smaller upper pouch usually means you can’t eat much in terms of quantity.

Smaller quantities of food means you consume fewer calories. If you try to each more than the size of the pouch, you will experience discomfort in your belly…a warning system that’s very useful.

Fewer calories means you start shedding the fat…..leading to weight loss.

Besides, the small opening connecting the upper and lower stomach slows down the digestive process, so you feel hungry less often.

 What happens after you leave hospital following stomach stapling procedure?

Following a vertical banded gastroplasty or stomach stapling, your bariatric surgeon will arrange follow-up care before you leave hospital. Your sutures will be removed around the 7th day after surgery and any relevant wound care will be provided.

The surgery is just one aspect of the procedure. Other aspects that are just equally important are dietary and exercise advice. All of these work together to enable you achieve your target weight loss goals, and your bariatric clinic should ideally provide these.

You should be able to start your usual routine duties i.e back to normal life within 4 weeks unless there is a complication from vertical banded gastroplasty procedure.

 How much weight can you expect to lose after vertical banded gastroplasty?

The effectiveness of vertical banded gastroplasty is affected by the fact that the procedure is a restrictive one only. Were it to be combined with another technique that causes you to absorb less nutrients, then the results will be far better.

Overall though, about 35% of individuals will achieve normal weight and more than three quarters will lose some sort of weight.

The long term outlook is not very good though as only 10% of stomach stapling patients are able to lose their target weight and keep it off over a 10 year period.


 How is your diet affected after stomach stapling surgery?

Soon after vertical gastroplasty, your bariatric surgeon will put you in touch with a professional dietitian who is usually part of the team anyway. The dietitian will explain the dos and don’ts of your nutrition following the surgery.

Immediately after surgery though, your meals will be mainly liquid type for the first fortnight or so. You will then progress to semi-solid diet after a while, before solid diet will be introduced.

As expected, the portions will be very small in tandem with the size of your ‘new stomach’.

The general direction of your meal plans will be low fat, low calorie, high protein henceforth.

 What are the advantages of vertical banded gastroplasty or stomach stapling?

 What are the disadvantages of vertical banded gastroplasty or staomach stapling?

 What are the possible complications of vertical banded gastroplasty or stomach stapling

It is with all these complications in mind, that the American Medical Association now regards vertical banded gastroplasty as dangerous.

As a result, this procedure is now fallen out of favour amongst bariatric surgeons who now largely prefer adjustable gastric banding.

No Comments
Compensation Disclosure: This website may receive referral compensation for some of the products on this site.