The surgical treatment of morbid obesity

Carey, Larry C.; Martin, Edward W.; Mojzisik, Cathy

doi:10.1016/0011-3840(84)90042-x

Cited by 15 publications

(2 citation statements)

References 212 publications

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“…6 Preoperative psychological assessment may help exclude patients who have unrealistic expectations of surgery and who are unlikely to alter their eating habits.10,26,26 One study reported those patients with the highest adaptive capacities are more likely to adapt to enforced restriction of energy intake and may respond better to surgery.27 SAFETY The morbidity and mortality of gastric restrictive surgery, estimated at 10% and 1%, respectively, can be subdivided into early and late technical and metabolic complications.28 The most serious postoperative complication is leakage along the staple line or at the anastomatic site of a bypass. Patients must be willing to restrict their food intake to small meals.…”

Section: Patient Selectionmentioning

confidence: 99%

Questions and Answers

1989

JAMA

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DATTA questions are addressed by physician consultants with expertise on the clinical issue being evaluated. These consultants are selected from a DATTA panel that includes more than 1000 physicians. Members of the DATTA panel have been nominated after solicitation by medical specialty societies, by medical schools through the AMA's Section on Medical Schools, by all councils and sections of the AMA, and by state medical societies. Solicitation for nominations specifies only that those nominated be adjudged by their peers as being experts in their particular field of medicine. Nominees are confirmed as members of the DATTA panel when their profes¬ sional credentials have been verified. Membership or affiliation with the American Medical Association is not a consideration. Expertise regarding and selection for response to particular questions are determined by key word sampling of designated physician specialty, subspecialty, or special interest. An effort is made to reflect a national geographic spectrum of diverse practice settings.This report Is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns evolve. This report reflects the views of the DATTA panelists and reports in the scientific literature as of December 16,1988. DATTA-related inquiries should

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Section: Patient Selectionmentioning

confidence: 99%

Questions and Answers

1989

JAMA

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“…Long-term success following the Roux-en-Y gastric exclusion operation [1] is dependent on a small gastric reservoir, an intact gastric staple line, and a gastrojeju nostomy stoma (GJS) of less than 1.2 cm in diameter [2]. Failure to maintain any one of these three conditions leads to adaptive changes that result in weight gain and the ultimate loss of benefits derived from the original procedure.…”

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confidence: 99%

Technique for Correction of Stomal Dilatation in the Failed Gastric Exclusion Procedure

Sapala¹,

Sapala²

1989

Dig Surg

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We describe a new technique for surgically reducing the size of a dilated stoma following the Roux-en-Y gastric bypass operation (RYGB). Of 416 RYGB patients operated on between 1983 and 1986, 6 required correction of a dilated stoma in the absence of pouch distension or staple line dehiscence. Our technique creates a new outlet in the proximal Roux-en-Y jejunum by stapling across the intestinal lumen at the lower border of the gastrojejunostomy anastomosis leaving the original stoma intact. At 1-year follow-up, this procedure prevented weight gain in 4 patients and increased weight loss significantly in 2 patients. We recommend this technique only for those RYGB patients with stomal dilatation who have small pouch reservoirs and intact gastric staple lines.

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Reoperative Surgery for the Morbidly Obese

Cates¹

1990

Arch Surg

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The surgical treatment of morbid obesity

Cited by 15 publications

References 212 publications

Questions and Answers

Questions and Answers

Technique for Correction of Stomal Dilatation in the Failed Gastric Exclusion Procedure

Reoperative Surgery for the Morbidly Obese

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