[Preliminary results of horizontal gastroplasty with Roux in Y anastomosis in patients with severe and morbid obesity].
BACKGROUND
Morbidly obese subjects have a high incidence of complications. The poor results of dietary treatments, has prompted the search of new therapies for obesity and among these, surgical procedures.


OBJECTIVE
To report the long term results of horizontal gastroplasty with Roux en Y anastomosis in morbidly obese subjects.


METHODS
Fifty patients with an initial body mass index of 41.3 +/- 6 kg/m2 have been subjected to a horizontal gastroplasty with Roux en Y anastomosis. During the study period, surgical techniques were modified, reducing the gastric pouch size, adding a truncal vagotomy, cholecystectomy, and increasing the length of the Roux en Y loop from 70 to 100 cm. Twenty five patients have been followed for two years.


RESULTS
There was no operative mortality and one patient had an anastomotic leak that required 35 days of hospitalization. During follow up, in one patient, the stapled suture line loosened. After two years of follow up, weight decreased from 112 +/- 19 to 77.2 +/- 14 kg.


CONCLUSIONS
Horizontal gastroplasty with Roux en Y anastomosis achieved an adequate weight loss with a low rate of complications in this group of morbidly obese subjects.
Csendes
A
A
Departamento de Cirugía, Hospital Clínico Universidad de Chile.
Burdiles
P
P
Jensen
C
C
Díaz
J C
JC
Cortés
C
C
Rojas
J
J
Csendes
P
P
Domic
S
S
D000293:Adolescent; D000328:Adult; D000713:Anastomosis, Roux-en-Y; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome