Question:
I received information from a surgeon saying he performs Vertical banded--con't

gastroplasty and vertical banded gastric bypass, What is the vertical banded gastric bypass.    — deniece M. (posted on October 17, 2002)

October 16, 2002
donna is corect on the VBG But a VBG gastric bypass intestines are by passeed they just also use a silastic ring to slow down how quickly your pouch emptys.....i have a SRVBG no bypass but my good friend has a silastic ring vertical BYPASS...a combination of the SRVBG and gastric Bypass that uses a ring make sense?!!!
   — bekka K.

October 17, 2002
The VBG plus an intestinal bypass is the Fobi pouch variation on the RNY, isn't it?
   — Patricia E.

October 17, 2002
Thanks everyone for all your comments it helped me find this site and this information. http://www.julies-story.org/f-pouch.htm Fobi Pouch procedure - Vertical Banded gastric bypass in general employs a small remnant of stomach - restricting how much the patient can eat - and a re-routing of the usual passage of food through the intestine, altering the way the body handles the calories and nutrients that are taken in. gastric bypass employs a large degree of restriction with a lesser degree of malabsoprtion. When people go on a low calorie diet, their body undergoes a compensatory drop in metabolic rate - a "starvation mode" - making it more difficult to lose weight after a short period of time. Gastric bypass largely overrides this effect to augment weight loss long term, and to keep it off as long as patients can continue to eat small amounts of food. Many variations of gastric bypass exist, but, keeping an eye to long term results, we prefer the Fobi Pouch gastric bypass as it functions to prevent some of the more common causes of surgical failure. By addressing the issues of pouch stretching, outlet stretching, pouch to stomach re-growth and gastro-gastric fistula, the Fobi pouch procedure is engineered to result in improved long term results when compared to the conventional gastric bypass. As a picture is worth a thousand words, lets look at the components of the Fobi Pouch gastric bypass Below.
   — deniece M.

October 18, 2002
I was given this choice a year ago but was denied by my insurance. The surgeon also had only done about 100 of them. I'm looking for alot more surgies than that. I would ask how many your surgeon has performed and find as much as you can about it. When I was discussing my options with my current surgeon(different hospital) he had never even heard of it and didnt even believe me until I showed him my old paperwork. Enough said for me! I want something with a very lovg term track record. I'll stick with old faithful open rny.
   — Patricia S.