[Initial outcome of vertical gastroplasty in treatment of morbid obesity].

The VBG enables a significant weight loss from an initial weight of 138.9 kg (mean value, n = 387) to 87.3 kg after 36 months. BMI is reduced from 48.9 to 30.8 kg/m2. Even the pathological metabolic disorders are improved like the rate of metabolic syndrome (8.4% to 2.2%). The postoperative complication rate is low with a letality of 0.26% or a thrombosis rate of 1,03%. The relative high rate of patients with ineffective weight loss (30-40%) should not lead to the consequence to stop the procedure, but to improve the pre-operative screening.