Resolution of Diabetes Following Vertical Gastroplasty in Morbidly Obese Patients.

Case reports are presented in three patients treated for morbid obesity by vertical gastroplasty. Prior to surgery, the patients had diabetes which required insulin, up to 200 units per day, or oral hypoglycemics for its control. Six months after surgery the diabetes had been resolved in all three patients, and they were no longer dependent on medication. Subjective reports from the patients suggests that their quality of life improved significantly

Technical Points in Vertical Gastroplasty for Morbid Obesity.

The success of vertical gastroplasty may be jeopardized by gastric leakage or ulceration due to failure of the technique. Reports of band erosion and staple-line leakage have led us to seek technical improvements to reduce technical failures. We describe a modification to the technique of band placement and a manoeuvre to aid the placement of staples when the TA90B staple gun is used.