Vertical banded gastroplasty-gastric bypass in Mexican patients with severe obesity: 1 year experience.
BACKGROUND
Different surgical alternatives for the treatment of severe obesity have been described. The two most common surgical procedures are the Vertical Banded Gastroplasty (VBG) and the Roux-en-Y Gastric Bypass (GBP).


METHODS
This work describes the results seen during the first 12 months after a surgical technique named Vertical Banded Gastroplasty-Gastric Bypass on 221 Mexican patients with severe obesity operated on between March 1993 and August 1996.


RESULTS
73.3% of the patients were female with an average age of 33.4 years with a standard deviation (SD) of 10 years. The initial mean overweight was 62.2 kg (SD = 26.5 kg). The percentage of ideal weight was 202.3% (SD = 39.4%). The initial body mass index (BMI) was 44.9 kg/m2 (SD = 9.1). The average of excess weight loss in a year was 81.2% (SD = 15.6%) and the BMI was lowered to 26.7 kg/m2 (SD = 5.9). An interesting finding was that the greater the initial overweight, the lesser the resulting weight loss (r = 0.57, P < 0.001).


CONCLUSIONS
The procedure was fairly easy to perform. The results were excellent in terms of weight loss and postoperative complications. It is an early experience and the long-term results are still inconclusive; regular check-ups should indicate the procedure's long-term effectiveness.
Zorrilla
P G
PG
Center for the Surgical Treatment of Severe Obesity, Hidalgo Medical Center, Monterrey, Mexico.
Salinas
R J
RJ
Salinas-Martinez
A M
AM
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods*; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods*; D006555:Hernia, Ventral / Q000209:etiology; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008137:Longitudinal Studies; D008297:Male; D008800:Mexico; D009765:Obesity / Q000601:surgery; D009767:Obesity, Morbid / Q000601:surgery; D011126:Polypropylenes; D012826:Silicone Elastomers; D017792:Surgical Stapling / Q000379:methods; D013530:Surgical Wound Infection / Q000209:etiology; D015431:Weight Loss
D011126:Polypropylenes; D012826:Silicone Elastomers