Skip to main content
SpringerLink
Log in

Gastroplasty for morbid obesity

Roentgen evaluation and spectrum of complications

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

With the advent of autosuture devices, gastric partitioning procedures have recently become popular surgical treatment of morbid obesity. One such procedure is Gomez gastroplasty. Using an autosuture device a small gastric fundal pouch, having a reservoir capacity of 60 ml and communicating with the remaining stomach through a 12 mm stoma is created along the greater curvature of the stomach. A 3-0 polyprolene internal seromuscular suture is used to reinforce the stoma without incising the stomach. This gastroplasty is extremely attractive because of the disarming simplicity of the procedure and its noninterruption of the normal sequence of the digestive tract.

This report is based on a joint review of 280 cases subjected to Gomez gastroplasty to combat morbid obesity. Postoperative radiological evaluation and the spectrum of observed complications are herein described.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Mason EE, Ito C: Gastric bypass in obesity.Surg Clin North Am 47:1347–1351, 1967

    Google Scholar 

  2. Printer KJ, Mason EE: Gastric bypass for the relief of morbid obesity.Arch Surg 106:428–433, 1973

    Google Scholar 

  3. Elliott J: More help for the morbidly obese — gastric stapling.JAMA 240:1941, 1978

    Google Scholar 

  4. Tretbar LL, Taylor TT, Sifers EC: Weight reduction, gastric plication for morbid obesity.J Kans Med Soc 77:488–490, 1976

    Google Scholar 

  5. Pace WG, Martin EW, Tetirick T, Fabri PJ: Gastric partitioning for morbid obesity.Ann Surg 190:392–400, 1979

    Google Scholar 

  6. Ellison CC, Martin EW, Laschinger J, Mojzisik C: Prevention of early failure of stapled gastric partitions in the treatment of morbid obesity.Arch Surg 115:528–533, 1980

    Google Scholar 

  7. Long M, Collins JP: The technique and early results of high gastric reduction for obesity.Aust NZ J Surg 50:146–150, 1980

    Google Scholar 

  8. Gomez CA: Gastroplasty in morbid obesity.Surg Clin North Am 59:1113–1120, 1979

    Google Scholar 

  9. Mason EE: Gastroplasty. InMajor Problems in Surgery. Philadelphia: W.B. Saunders Co., 1981, pp 386–417

    Google Scholar 

  10. Kremen AN, Linner JH, Nelson CH: Experimental evaluation of the nutritional importance of proximal and distal small intestine.Ann Surg 140:439–448, 1954

    Google Scholar 

  11. Payne JH, DeWind LT, Conners RR: Metabolic observations in patients with jejuno-ileal shunts.Am J Surg 106:213–289, 1963

    Google Scholar 

  12. Payne JH, DeWind LT: Surgical treatment of morbid obesity.Am J Surg 118:141–147, 1969

    Google Scholar 

  13. Payne JH: Surgical treatment of obesity — sixteen years experience.Arch Surg 106:432–431, 1973

    Google Scholar 

  14. DeWind LT, Payne JH: Intestinal bypass surgery for morbid obesity — long term results.JAMA 236:2298–2299, 1976

    Google Scholar 

  15. Scott HW Jr, Sandstead HH, Brill AB, Barko H, Younger RK: Experience with a new technique of intestinal bypass in the treatment of morbid obesity.Ann Surg 174:560–572, 1971

    Google Scholar 

  16. Scott HW Jr, Dean RH, Shull HJ, Abram HS, Weff W, Younger RK, Brill AB: New considerations in use of jejunoileal bypass in patients with morbid obesity.Ann Surg 177:723–735, 1973

    Google Scholar 

  17. Scott HW Jr, Dean RH, Shull HJ, Gluck F: Results of jejunoileal bypass in 200 patients with morbid obesity.Surg Gynecol Obstet 145:661–673, 1977

    Google Scholar 

  18. Gomez CA: Gastroplasty in the surgical treatment of morbid obesity.Am J Clin Nutr 33:406–415, 1980

    Google Scholar 

  19. Balthazar EJ, Goldfine S: Jejuno-ileal bypass roentgenographic observations.AJR 125:138–142, 1975

    Google Scholar 

  20. Jewel WR, Hermreck HS, Hardin CA: Complications of jejunoileal bypass for morbid obesity.Arch Surg 110:1039–1042, 1975

    Google Scholar 

  21. Hermreck AS, Jewel WR, Hardin CA: Gastric bypass for morbid obesity — results and complications.Surgery 80:498–505, 1976

    Google Scholar 

  22. Moss AA, Goldberg HI, Kochler RE: Radiographic evaluation of complications after jejuno-ileal bypass surgery.AJR 127:737–747, 1976

    Google Scholar 

  23. Cohen WN, Mason EE, Blorner TJ: Gastric bypass for morbid obesity.Radiology 122:609–612, 1977

    Google Scholar 

  24. Moffat RE, Peltier GL, Jewell WR: The radiological spectrum of gastric bypass complications.Radiology 132:33–36, 1979

    Google Scholar 

  25. Lewis GP, James JO, Datz MD, Nelson JA: Radiographic evaluation of the gastric stapling procedure for obesity in 100 patients. Paper presented at the 29th annual meeting of The Association of University Radiologists, April 22–24, 1981, New Orleans, LA

  26. Villar HV, Burk TF, Wangestein SL: Mechanism of satiety after gastric stapling and gastric bypass.Surg Forum 30:353–355, 1979

    Google Scholar 

  27. Poulous A, Peat K, Loriman TG, Hatfield DR, Griffin WO: Gastric operation for the morbidly obese.AJR 136:867–870, 1981

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University of Michigan Hospital, 48109, Ann Arbor, Michigan, USA

    Farooq P. Agha M.D.

  2. Department of Surgery, West Virginia University Hospital, Morgantown, West Virginia

    Howard H. Harris

  3. Department of Surgery, Charleston Area Medical Center, Charleston, West Virginia, USA

    Mohammed M. Boustany

Authors
  1. Farooq P. Agha M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Howard H. Harris
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohammed M. Boustany
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agha, F.P., Harris, H.H. & Boustany, M.M. Gastroplasty for morbid obesity. Gastrointest Radiol 7, 217–223 (1982). https://doi.org/10.1007/BF01887641

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01887641

Key words

Search

Navigation