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Edward E. Mason, MD, PhD

Arch Surg. 2003;138:361-366.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Gastroplasty 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 . . . [Full Text of this Article]

BACKGROUND

ELIMINATING THE COMPLICATIONS OF GASTRIC BYPASS BY
PERFORMING GASTROPLASTY

STABILIZING THE OUTLET

AVOIDING PISTOL-SHOT PERFORATIONS IN SMALL POUCHES

CHANGING A HORIZONTAL TO A VERTICAL POUCH

INTRODUCING VBG

OBSTRUCTING THE VBG POUCH CAUSES COMPLICATIONS

SUGGESTING ALTERNATIVES TO GASTROPLASTY

RECOMMENDING GASTROPLASTY FOR PATIENTS WITH A BODY MASS INDEX
BETWEEN 35 AND 45

PREDICTING THE FUTURE OF GASTROPLASTY

From the Department of Surgery, University of Iowa College of Medicine, Iowa City.

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