2002, Number 4
Evaluation of three surgical techniques for treatment of severe obesity
Álvarez CR, Aragón VE, Montoya RJ, Sandoval AO, Toledo DA
Full text
Language: Spanish
References: 8
Page: 149-154
PDF size: 54.88 Kb.
ABSTRACT
In order to compare the medium term result of three surgical techniques for severe obesity, 144 patients were evaluated, 52 underwent Fobi reinforced gastric bypass, 45 vertical silastic ring gastroplasty, and 47 laparoscopic gastric banding. All severely obese patients were studied thoroughly and followed for a period of four years. The results in excess weight loss were in average 72% for Fobi operation, 62% for gastroplasty and 68% for gastric banding. The body fat percent diminished from 58 to 35 with Fobi operation, from 59 to 42 with gastroplasty and from 60 to 34 with gastric banding. High blood pressure turned to normal in 14 out of 23 Fobi technique patients, in 11 out of 19 gastroplasties and 15 our of 29 gastric bands. Sleep apnea improved or disappeared in 4 out of 8 Fobi cases, in 3 out of 8 gastroplasties and 4 out of 11 cases of gastric banding. The use of insulin of hypoglycemic drugs was discontinued in 16 out of 31 patients: 8/13 Fobi’s, 4/9 gastroplasties and 4/9 bands. The Alvarez-Garcia Quality of Life test was done, and from 75 to 90% of the patients were satisfied with the operation, regardless the technique employed; only 10 out the 144 patients were not satisfied or disappointed. In summary, it seems that the three surgical techniques employed for severe obesity control have satisfactory results, with minimal differences among them.REFERENCES