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Stapled versus Transected Silastic Ring Gastric Bypass Weight Loss Surgery

Gastro-gastric Fistula Reduced in Obesity Bypass by Transecting Stomach Rather Than Stapling

Bariatric Surgery - Bariatric Research Studies

Evaluation of Stapled versus Transected Silastic Ring Gastric Bypass: 6-year Follow-up Study

The effect of transecting vs. stapling the stomach in continuity in the banded gastric bypass (GBP) operation was studied.

Method

50 patients, 25 in each group, were enrolled into a prospective study to determine if transecting the stomach vs. stapling it in continuity in performing gastric bypass for obesity decreases the incidence of gastro-gastric fistula formation without increased morbidity.

Results

The patient profiles in the 2 groups were very similar. The peri-operative complications included 1 splenic capsular injury in each group, controlled without a splenectomy. There was 1 anastomotic leak in the stapled and 1 bleeding from the cut edge of the bypassed stomach in the transected group, both requiring re-operations in the immediate postoperative period. There was no peri-operative mortality. The percent follow-up after 6 years was 80% and 88% in the stapled and transected groups respectively. The incidence of late complications of solid food intolerance, ventral incisional hernia, cholelithiasis and small bowel obstruction was similar in both groups. There were 8 gastro-gastric fistulas in the stapled group and 1 in the transected group. The reduction in body mass index and percent excess weight loss (66%) were similar in both groups.

Conclusion

The incidence of gastro-gastric fistula may be reduced in gastric bypass procedures by transecting the stomach as opposed to stapling it in continuity, without an increase in morbidity or mortality or any loss in the effectiveness of the operation.

Source:
Fobi MA, Lee H, Igwe D Jr, Stanczyk M, Tambi JN. Center for Surgical Treatment of Obesity, Hawaiian Gardens, CA, USA. 2001

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources