Comparison of different types of gastroplasty in the treatment of 93 morbid obese patients.
Between 1980 and 1985, three types of horizontal and one of vertical gastroplasty were employed in an attempt to find the best alternative to jejunoileal bypass in morbid obesity. Operations were tried successively, one being abandoned in favour of the next whenever unsatisfactory results were too frequent. Thus survey pertains to 93 consecutive, but previously untreated patients. The four groups were comparable with regard to inclusion criteria, preoperative degree of obesity and postoperative care. Weight losses were significantly greater in the vertical type, while there were no significant differences among the horizontal types of gastroplasty. There were few and only minor differences with regard to complications. Evidence to date seems to point to vertical gastroplasty as the best surgical treatment in morbid obesity.
D000328:Adult; D001835:Body Weight; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000628:therapy*; D011184:Postoperative Period; D013270:Stomach / Q000601:surgery*