Gastric restriction for morbidly obese Egyptians

ABSTRACT

The different modalities of gastric restriction regarding their efficacy and complications were investigated. This study has analyzed the results of 120 morbidly obese patients managed by gastric restriction. The results have shown that 83 patients had open vertical banded gastroplasty [VBG], 20 patients had laparoscopic vertical banded gastroplasty [Lap VBG] and 17 patients had Swedish adjustable gastric band [SAGB]. The follow-up period ranged from 6-30 months. Three patients who had VBG died; two because of pulmonary embolism and one due to myocardial infarction. In the VBG group, four patients developed delayed staple line dehiscence and three patients had outlet obstruction. One patient developed gastric fistula in the Lap VBG group. The results have shown that gastric restriction achieves a major weight reduction with much improvement in the comorbid conditions, which are the primary goals of treatment in the morbidly obese patients