[Medium-long-term good results of vertical gastroplasty in the treatment of morbid obesity].
To determine the long-term results of the surgical treatment of patients with morbid obesity, a retrospective analysis of the patients in whom a vertical banded gastroplasty according to Mason was performed in the period 1982-1990 was carried out in the department of General Surgery, St. Joseph Hospital, Veldhoven, the Netherlands. In a series of 20 patients (4 men and 16 women) with a mean age of 32 (17-53) years who were eligible for treatment according to international criteria surgery was performed. The preoperative weight averaged 124 (94-207) kg and the mean preoperative excess weight was 60 (37-132) kg. Immediate postoperative complications occurred in 5 and late complications in 7 patients. Revision for technical complications was necessary in 2 patients. Twelve patients were followed up for more than 4 years. The mean weight loss after 4 years was 37 (18-89) kg, which was 28 (18-43) per cent of the mean preoperative weight and 62 (31-89) per cent of the mean preoperative excess weight. The 4-year results were unsatisfactory (less than 50 percent excess weight loss) in 3 of the 12 patients. It is concluded that vertical banded gastroplasty in our hands seems a relatively safe and effective surgical method of achieving sustained weight loss in most patients.
Afd. Algemene Chirurgie, Sint Joseph Ziekenhuis, Veldhoven.
P P
PP
Jacobs
F A
FA
Croiset van Uchelen
C M
CM
Bruyninckx
F J
FJ
Donker
W M
WM
Driessen
C
C
Breuer
D000293:Adolescent; D000328:Adult; D001835:Body Weight; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011184:Postoperative Period; D015431:Weight Loss
Goede resultaten op middellange termijn van verticale maagverdeling ter behandeling van overmatige vetzucht.