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PMID: 7125726 Published · ppublish English Clinical Trial Journal Article Randomized Controlled Trial

The effectiveness of gastric bypass over gastric partition in morbid obesity: consequence of distal gastric and duodenal exclusion.

Annals of surgery ·Vol. 196 ·No. 4 ·1982-10-00 ·Pages 389-99

Pories WJ, Flickinger EG, Meelheim D, Van Rij AM, Thomas FT

Abstract

Eighty-seven morbidly obese patients were prospectively randomized to two operations: gastric bypass was performed on 42 and gastric partition on 45. Gastric bypass proved to be more effective; gastric bypass patients lost 15% more of their original weight at 12 months and 21% more at 18 months. There were no failures in the gastric bypass group; 28 of the 45 operations failed in the gastric partition group. An additional 60 patients underwent gastric bypass since the completion of the study. In the total series of 147 patients who underwent gastric bypass or gastric partition, there was no mortality, and the surgical complication rate was 12%. Because the gastric pouches and the anastomoses were similar in the two operations, the superiority of the gastric bypass may well be due to a heretofore unexplained effect of distal gastric and duodenal exclusion.

MeSH Terms
Adult Body Weight Female Humans Jejunum/surgery Male Methods Middle Aged Obesity/therapy Postoperative Care Postoperative Complications Prospective Studies Stomach/surgery
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Pories W J
Flickinger E G
Meelheim D
Van Rij A M
Thomas F T
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30 references, click to expand
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Article Info
Journal
Annals of surgery
Abbr.
Ann Surg
ISSN
0003-4932
DOI
10.1097/00000658-198210000-00002
Published
1982-10-00
Pages
389-99
Language
English
Region
United States
NLM ID
0372354
PMCID
PMC1352695
Subset
IM
External Links
PubMed source DOI: 10.1097/00000658-198210000-00002 PMC Full Text View journal details
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