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A Clinical Study

John H. Linner, MD

Arch Surg. 1982;117(5):695-700.

Abstract
• Gastric bypass (GBP; 227 cases) was compared with gastroplasty (GP; 189 cases) with a follow-up of six months to four years. After two years, mean weight loss of patients with GBP was 43.4 kg (34.2% of preoperative weight and 63.5% of excess weight loss), with a 5.7% failure rate. Corresponding results for those receiving GP were 27 kg (22.1% and 44.7%), with a failure rate of 42.5%. The revision rate for GP (11.1%) was twice that for GBP (4.3%). There were two GBP and five GP perforations. There were two deaths among the 416 patients (0.48%), both in the GBP group. Gastric bypass was found to be more effective with fewer revisions than gastroplasty, but the mortality was higher. Roux-en-Y GBP is our current choice for surgical treatment of morbid obesity.

(Arch Surg 1982;117:695-700)

Author Affiliations
From the Department of Surgery, University of Minnesota, Minneapolis.

Footnotes
Accepted for publication Jan 8, 1982.

Read before the 89th annual meeting of the Western Surgical Association, Albuquerque, Nov 18, 1981.

Reprint requests to Department of Surgery, Metropolitan Medical Center, 825 S Eighth St, Minneapolis, MN 55404 (Dr Linner).

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