Seven year results of vertical banded gastroplasty for morbid obesity.
OBJECTIVE
To present our experience with a group of obese patients treated by vertical banded gastroplasty.


METHODS
Open prospective study.


METHODS
Teaching hospital, Sweden.


METHODS
198 Morbidly obese patients operated on between 1986 and April 1994.


METHODS
Modified Mason vertical banded gastroplasty.


METHODS
Weight loss, mortality, early and late morbidity, and reoperation.


RESULTS
The mean (SEM) age was 40 (0.7) and 149 of the 198 were women (75%). 22 Patients (11%) were lost to follow-up. Five patients died (3%), one soon after operation. Mean (SEM) body mass index (BMI) was 44.4 (0.5) preoperatively and this decreased to 32.6 (0.6) after four years (n = 99) and 33.8 (1.3) after seven years (n = 20). 21 patients developed 24 early postoperative complications, and 31 patients were reoperated on 41 times for late complications.


CONCLUSIONS
All patients lost weight after vertical banded gastroplasty, and their weight continued to decrease during a seven-year follow-up. This was somewhat offset by the high rate of reoperations required.
Näslund
E
E
Department of Surgery, Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
Backman
L
L
Granström
L
L
Stockeld
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009767:Obesity, Morbid / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D012086:Reoperation; D015996:Survival Rate; D015431:Weight Loss