Critical appraisal of horizontal gastroplasty

James A. Knol, William E. Strodel, Frederic Eckhauser

Research output: Contribution to journalArticle

Abstract

We evaluated 77 consecutive patients who had undergone horizontal gastroplasty over a 2 year period. Mean follow-up was 26 months (88 percent of patients) and ranged from 15 to 45 months. There were no operative deaths. Early complications were common. Stomal dilatation resulting in cessation of weight loss or in weight regain occurred in 19 patients (25 percent). Stomal stenosis occurred in four patients. Among patients with an intact gastroplasty, the percentage excess weight decreased from a preoperative mean of 142 ± 46 percent to 80 ± 38 percent at 1 year, 68 ± 30 percent at 2 years, and 83 ± 45 percent at 3 years. Fewer than 25 percent of the patients weighed less than 50 percent above ideal body weight at 2 or 3 years. In our experience, horizontal gastroplasty was associated with an unacceptably high mechanical failure rate. Using strict criteria, weight loss was generally inadequate at 2 years and not sustained, even in patients with intact gastroplasty.

Original languageEnglish (US)
Pages (from-to)256-261
Number of pages6
JournalAmerican Journal of Surgery
Volume153
Issue number3
DOIs
StatePublished - 1987
Externally publishedYes

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Gastroplasty
Weight Loss
Weights and Measures
Ideal Body Weight
Dilatation
Pathologic Constriction

ASJC Scopus subject areas

  • Surgery

Cite this

Critical appraisal of horizontal gastroplasty. / Knol, James A.; Strodel, William E.; Eckhauser, Frederic.

In: American Journal of Surgery, Vol. 153, No. 3, 1987, p. 256-261.

Research output: Contribution to journalArticle

Knol, James A. ; Strodel, William E. ; Eckhauser, Frederic. / Critical appraisal of horizontal gastroplasty. In: American Journal of Surgery. 1987 ; Vol. 153, No. 3. pp. 256-261.
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