title: Seven year results of vertical banded gastroplasty for morbid obesity.
abstract: 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.
authors.affiliation: Department of Surgery, Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Näslund
authors.forename: L
authors.initials: L
authors.lastname: Backman
authors.forename: L
authors.initials: L
authors.lastname: Granström
authors.forename: D
authors.initials: D
authors.lastname: Stockeld
mesh_terms: 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