Question:
Any long-term success with VGB

Has anyone had and maintained long-term weight-loss with VGB instead of RNY? Pre-op and still trying to decide.    — Kalena B. (posted on October 19, 2003)


October 18, 2003
My surgeon says the 5 year failure rate for VBGs is 80% and I believe him. Our support group is FILLED with VBG revisions to the RNY. The tight band encourages poor eating habits like chips and milkshakes, while good food like steak is near impossible to eat, it gets stuck. While no malabsorbtion has no dumping and all calories eaten are absorbed. If you really want a VBG check out the adjustable band, its done LAP and has lots of advantages. The RNY has the best track record thats why the NIH called it the gold standard of wLS. There are successful VBGers out there but the numbers are very low.
   — bob-haller

October 18, 2003
I feel they should stopo doing the VBG. Who wants to have surgery again for weightloss?? ME! I had the VBG a little over 2 years ago and it stopped working for me 1 year ago. It was the disappearing staple line. There were 16 other women plus myself that all had the VBG done in 2001 by the same surgeon and all but 2 of us have had revisions to the RNY. I'm having my revision on 28 Oct 03 and the other lady is in the process of getting hers approved. I think they should stop doing them they make you look like a failure even when you measure your food. Very depressing! That is my 2 cents on the VBG!- Tammy
   — blacker24

October 18, 2003
I wanted the VGB not the RNY but after doing research and talking to 2 different surgeons, the failure rate was too high for me. I looked at long term not just 1 or 2 years out and 80% was too high of a failure rate for me. I know people have had success with the VGB but I'm not one to take that big of a chance. Good luck. ~Sidney~ Open RNY 10-23-02 down 120+ and counting
   — Siddy I.

October 18, 2003
There are questions and messages on here everyday, in fact one was yesterday, where people are getting revised from vgb to rny because of poor weight loss. That tells it all. Just scroll down the questions and find the one that says revision from yesterday. Good answers there and that is only from yesterday.
   — Delores S.

October 18, 2003
There are questions and comments every day on here about people being revised from vgb to rny. In fact there is one from yesterday. It starts with, i had vgb and now want rny. Look that question up. Good answers there. The fact that it so frequently on here speaks for itself.
   — Delores S.

October 18, 2003
karen, I have tried to post this three times so it might show up multile times. There are people on here every day asking about being revised from vgb to rny. in fact, that is nearly 100% of all revisions. There was a question yesterday that starts, ' i had vgb and now want rny." You might look at the answers there. The fact that so many people are seeking revisions speaks for itself. Good luck on your research and i hope you get some really good answers to help you decide what is best for you.
   — Delores S.

October 19, 2003
Congratulations on doing the research before jumping into the decision, which is yours and yours alone. Unfortunately, I have read more negative than good about the VGB. I can't access your profile so I don't have your stats, but if you have over 100 to lose, I think you should seriously seriously consider the RNY. There is another question down a few on this board from someone who is dissatisfied with the results of the VGB. It sure seems like there is more long term success with RNY. I am an RNY person, and I wouldn't change my decison for the world. Good luck to you. Hugs, Valerie 8/26/02 275/170/??
   — Valerie B.

October 19, 2003
My surgeon used to do the VGB, but he no longer does. He said the failure rate was too high & now he strictly does the Open RNY.
   — Saxbyd

October 19, 2003
Thanks for all your help guys. I will look into all your suggestions, but I think I already know the answer. Karen
   — Kalena B.

October 19, 2003
There is another WLS many people have never heard of that has an even better success rate, the DS. Significant long-term regain is close to 0%. In fact, in the Yahoo revision group you'll find many RNY's being revised to DS, some after being revised to RNY from VBG! You can research the DS at http://duodenalswitch.com/. Good luck to you!
   — Chris T.

October 20, 2003
I had VBG in 1995. It worked well for about 5-6 years, then I had a staple line disruption and gained back 90-100 pounds. I was revised in 2002 to RNY and have lost 90 pounds. I am sure there are some long-term VBGs out there who have maintained their weight loss. I just wasn't one of them. If the dr.s can come up with a way to transect the VBG pouch, I think it could be a more viable option, esp. for those who are leery of the malabsorption, but the way it is done, with just staples, there is no way to for a good scar line to form and the chance of staple line disruptions is always there.
   — Ali M

October 21, 2003
I had my VBG a little over a year ago, and I have had no problems, continue to loose weight, never gained an ounce, and believe this is the best decision I have ever made. I do believe the 'stats' for VBG failure are higher than the RNY, but 80% is a bit much. And barring any mechanical difficulties (which could happen with RNY too) your personal 'failure' rate is up to you. This surgery was done on your stomach, not your head. If you do not dump when you have an RNY, like so many, then how is it going to stop you from eating milkshakes? And for the record, I have no trouble eating good foods like veggies and meat, and have not even tried to have a milkshake or ice cream. I just don't want those things. I did this surgery to eventually have a normal life, in my personal opinion, there is nothing normal about having to count the number of grams of sugar in everything you eat for the rest of your life. Do your own research on the options available to you. Consider the long term issues and potential complications as well.
   — salymsmommy

October 21, 2003
Hi Karen, If you are thinking about VBG I would advise you to look into the Lap Band. It works virtually the same way as the VBG as it is a restrictive procedure, however there is not the danger of staple line disruption as with the VBG. I went back and forth between the 2 before finally deciding on the Lap Band. I was banded 07/01/03 and have lost 60lbs so far, I have had 1 fill and no complications. Good Luck in your journey! Lisa F
   — Lisa F.




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