Development and future of gastroplasties for morbid obesity.
نویسنده
چکیده
G astroplasty was originally developed to simplify gastric reduction operations for the treatment of obesity and thereby avoid complications peculiar to bypasses. Lessons learned from gastric bypass about pouch and outlet size increased in importance with gastroplasty. An extensive literature exists that requires careful reading to understand the technical causes of excessively high reoperation rates. Much of the recent decline in the use of gastroplasty followed efforts to increase weight loss by obstructing the outlet, only to increase staple-line breakdown and to cause collar migration into the lumen. With adherence to tested technique, vertical gastroplasty can benefit most patients with morbid obesity and should be more frequently used. Gastroplasty may increase in popularity as the medical profession is confronted with an increasing need for long-term medical care following gastric bypass. This article is a brief review of experience that is a necessary guide to future success with gastroplasty.
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عنوان ژورنال:
- Archives of surgery
دوره 138 4 شماره
صفحات -
تاریخ انتشار 2003