Gastric operation for the morbidly obese

Poulos, Alexandra; Peat, K; Lorman, JG; Dr, Hatfield; Wo, Griffen

doi:10.2214/ajr.136.5.867

Cited by 17 publications

(3 citation statements)

References 7 publications

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“…In the early days of laparoscopic adjustable gastric banding, FU was almost always radiological [13]. This was necessary as the exact volume requirements were unknown and the mechanisms of band restriction less understood [14]. However, as experience has increased with both duration of follow-up and number of patients, we are now able, in our opinion, to make decisions on quantity of band fills and make subjective assessments based on patient symptoms safely.…”

Section: Discussionmentioning

confidence: 99%

Variation of Outcome in Weight Loss with Band Volume Adjustments under Clinical and Radiological Control Following Laparoscopic Adjustable Gastric Banding

2009

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Our study suggests that at medium-term follow-up, clinical fill is superior to radiological FU at least in terms of weight loss, with the added benefit of avoiding unnecessary radiation albeit that the difference between the two methods gets smaller with FU beyond 2 years. This topic merits a future randomized control trial to make recommendations without biases inherent to retrospective analysis.

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Section: Discussionmentioning

confidence: 99%

Variation of Outcome in Weight Loss with Band Volume Adjustments under Clinical and Radiological Control Following Laparoscopic Adjustable Gastric Banding

2009

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“…The disenchantment with jejunoileal bypass and gastric bypass procedures and their associated complications are well documented in the surgical and radiological literature [19][20][21][22][23][24][25][26][27]. Problems such as iron deficiency anemia, peripheral neuritis, dumping syndrome with symptomatic diarrhea, symptomatic bile reflux esophagitis and gastritis, enlargement of the anastomosis accompanied by weight gain, and questions raised regarding the fate of the bypassed seg-ment of the bowel led to rigorous search for a new operation [5,8].…”

Section: Discussionmentioning

confidence: 99%

Gastroplasty for morbid obesity

Agha

Harris

Boustany

1982

Gastrointest Radiol

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With the advent of autosuture devices, gastric partitioning procedures have recently become popular surgical treatment of morbid obesity. One such procedure is Gomez gastroplasty. Using an autosuture device a small gastric fundal pouch, having a reservoir capacity of 60 ml and communicating with the remaining stomach through a 12 mm stoma is created along the greater curvature of the stomach. A 3-0 polyprolene internal seromuscular suture is used to reinforce the stoma without incising the stomach. This gastroplasty is extremely attractive because of the disarming simplicity of the procedure and its noninterruption of the normal sequence of the digestive tract. This report is based on a joint review of 280 cases subjected to Gomez gastroplasty to combat morbid obesity. Postoperative radiological evaluation and the spectrum of observed complications are herein described.

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“…A recently popularized procedure is gastric partitioning [1][2][3][4][5][6][7][8][9][10]. In this operation, a proximal gastric pouch is created by an interrupted transverse staple line and reinforced by sutures [5,8,10,11].…”

mentioning

confidence: 99%

Suture line ulceration: A complication of gastric partitioning

Nunes

vanSonnenberg

Pressman

et al. 1984

Gastrointest Radiol

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Gastric partition with formation of a proximal pouch by staples and reinforced sutures is a well-accepted operation for obesity. Experience at this institution has included 2 cases of ulcers occurring at the partition line, a complication not well-described previously. These ulcers were located on the lesser curvature, appeared benign, and were characterized by chronic, severe pain. A suture associated with the ulcer was demonstrated endoscopically in 1 patient, although it could not be removed perorally.

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Gastric operation for the morbidly obese

Cited by 17 publications

References 7 publications

Variation of Outcome in Weight Loss with Band Volume Adjustments under Clinical and Radiological Control Following Laparoscopic Adjustable Gastric Banding

Variation of Outcome in Weight Loss with Band Volume Adjustments under Clinical and Radiological Control Following Laparoscopic Adjustable Gastric Banding

Gastroplasty for morbid obesity

Suture line ulceration: A complication of gastric partitioning

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