Gastroplasty with reinforced greater curve stoma for morbid 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).
D000328:Adult; D001835:Body Weight; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008722:Methods; D009765:Obesity / Q000628:therapy*; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D013523:Surgical Equipment