Gastroplasty/Distal Gastric Bypass: An Operation Producing Excellent and Prolonged Weight Loss in the Super-Obese

Salmon, Peter A.

doi:10.1381/096089293765559098

Cited by 7 publications

(4 citation statements)

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“…Our results are in agreement with the main points of several authors who reported good results with combined procedures [20][21][22][23] or excellent weight loss of RYGBP in spite of gastro-gastric fistula. [24][25][26] In the RYGBP-on-VBG, the nearly total passage of the meal through the non-restricted gastro-jejunal anastomosis, in spite of the open gastro-gastric outlet, can be explained by the concept of Magenstrasse: the gastrojejunostomy represents the preferential way.…”

Section: Discussionsupporting

confidence: 93%

Three-Year Results of Roux-en-Y Gastric Bypass-on-Vertical Banded Gastroplasty: an Effective and Safe Procedure which Enables Endoscopy and X-Ray Study of the Stomach and Biliary Tract

Amenta

2007

OBES SURG

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Section: Discussionsupporting

confidence: 93%

Three-Year Results of Roux-en-Y Gastric Bypass-on-Vertical Banded Gastroplasty: an Effective and Safe Procedure which Enables Endoscopy and X-Ray Study of the Stomach and Biliary Tract

Amenta

2007

OBES SURG

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“…Mason and Ito [1,2] after extensive laboratory investigation reported their use of GBP in humans in 1967 for the treatment of obesity. The operation has undergone a host of modifications by their originators and others [3][4][5][6][7][8][9][10][11][12][13][14]. The prototype was the Billroth II gastric operation but without removal of the distal stomach (Fig.…”

Section: Evolution Of Gastric Bypass Operation For Treatment Of Obesitymentioning

confidence: 99%

“…8). Salmon [13] combined the vertical banded gastroplasty (VBG) operation and the GBP into what he called "gastroplasty with the distal gastric bypass" (Fig. 9).…”

Section: Evolution Of Gastric Bypass Operation For Treatment Of Obesitymentioning

confidence: 99%

Gastric Bypass Operation for Obesity

1998

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Gastric bypass is considered by many to be the gold standard for surgical treatment of obesity. Gastric bypass was a natural evolution from gastric operations that were used for the treatment of peptic ulcer disease. Gastric bypass, first described in 1967, has undergone many modifications. It presently exists as a hybrid operation. Gastric bypass operation has been extensively scrutinized and evaluated against other operations for the treatment of obesity. Co-morbidities due to severe obesity are usually ameliorated or arrested after the weight loss from gastric bypass. Gastric bypass operation is now being performed with a perioperative morbidity of less than 10%. The average percentage excess weight loss with gastric bypass is 70%. The success rate, defined as 50% excess weight loss after at least 2 years of follow-up, is 85%. The metabolic deficiencies of gastric bypass are controllable with supplemental intake. This report with special references to the Fobi pouch operation, a modification of gastric bypass done by the author, presents the evolution, modifications, risk, outcome, and future trends of gastric bypass for treatment of obesity.

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“…The revisional surgery, maintaining a VBG design, is advisable if the patient is a good candidate for this procedure. As described in recent studies, 3,19,20 patients with sweeter eating habits or supermorbid obesity might benefit from malabsortive (ie, gastric bypass) or partially malabsortive (ie, Salmon technique 9 ) methods.…”

Section: See Invited Commentary At End Of Articlementioning

confidence: 97%

Band Erosion in Patients Who Have Undergone Vertical Banded Gastroplasty

Moreno

Alastrué²,

Rull³

et al. 1998

Arch Surg

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To study the incidence of band erosion in patients who have undergone vertical banded gastroplasty and to describe the reparative techniques used. Design: A retrospective review case series. Setting: A university hospital-based tertiary referral center. Patients: Two hundred fifty consecutive morbidly obese patients who underwent vertical banded gastroplasty between 1987 and 1995. Main Outcome Measures: The development of band erosion into the stomach, reparative surgical techniques, and long-term weight loss control. Results: Band erosion developed in 7 (2.8%) of the patients. Two patients had symptoms 1 month after undergoing forced endoscopy. Six patients required reoperation. The operative findings included 2 cases of "external" band erosion through the lesser curvature into the stomach and 4 cases of "internal" band erosion through the circular staple line. The surgical techniques used for repair depended on the radiological and endoscopic data and on the operative findings; the techniques included conversion into a gastric bypass, band replacement after the creation of a new stoma, and gastroplasty plus distal gastric bypass. There were no complications, and adequate longterm weight loss was achieved in all but 1 of the patients who underwent reoperation. Conclusion: Band erosion may be corrected using appropiate surgical techniques to allow for adequate longterm weight loss in patients who have undergone vertical banded gastroplasty.

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Gastroplasty/Distal Gastric Bypass: An Operation Producing Excellent and Prolonged Weight Loss in the Super-Obese

Cited by 7 publications

References 0 publications

Three-Year Results of Roux-en-Y Gastric Bypass-on-Vertical Banded Gastroplasty: an Effective and Safe Procedure which Enables Endoscopy and X-Ray Study of the Stomach and Biliary Tract

Three-Year Results of Roux-en-Y Gastric Bypass-on-Vertical Banded Gastroplasty: an Effective and Safe Procedure which Enables Endoscopy and X-Ray Study of the Stomach and Biliary Tract

Gastric Bypass Operation for Obesity

Band Erosion in Patients Who Have Undergone Vertical Banded Gastroplasty

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