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GASTROPLASTY WITH REINFORCED GREATER CURVE STOMA FOR MORBID OBESITY
Author(s) -
RamseyStewart George
Publication year - 1985
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1985.tb00879.x
Subject(s) - medicine , stoma (medicine) , morbid obesity , surgery , pouch , stenosis , body weight , morbidly obese , weight loss , fibrous joint , obesity
Forty‐four morbidly obese patients underwent gastroplasty with a transverse double stapled partition forming a 20–30 ml proximal gastric pouch and a 10 mm diameter stoma on the greater curve supported by three non‐absorbable imbricating seromuscular inverting suture layers to form a neopylorus. All patients have been followed at approximately 4 weekly intervals for at least 72 weeks and all patients have been submitted to endoscopic assessment at the end of 1 year. There was no mortality and there were no major immediate postoperative complications. Three patients (6.8%) had inadequate weight loss (in two associated with partial staple line failure). The other 41 patients (93.2%) reached final weights less than or equal to 40% above ideal weight. Sixteen patients (36.4%) reached their ideal weight. Six patients (13.6%) developed stomal stenosis (two requiring re‐operation, and four requiring endoscopic dilatation).