Laparoscopic adjustable vertical bundling gastroplasty

Vertical binding gastroplasty is based on conventional gastroplasty, that is, a small proximal gastric storage bag that is divided at the proximal end above the open stomach. Refractory vomiting, abdominal pain and decreased appetite directly limit the application and popularity of this procedure. Vertical bundling gastroplasty can be divided into non-adjustable and adjustable gastric bundling. Adjustable vertical bundling gastroplasty is performed by placing a balloon into a bundling band and connecting it with a reservoir through a tube, and six subcutaneous tissues close to the chest and abdominal muscles, which are acquired through X-ray perspective to determine the ball The addition or extraction of sac fluids dynamically adjusts the outflow tract of the gastric bag. Although adjustable gastric tying is regarded as the last monument of obesity surgery in the 20th century, gastric bypass is still the last choice for super-obese patients.