Silastic ring gastric bypass: results in 64 patients.

Silastic ring gastric bypass: results in 64 patients. Research Abstract Details 

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Silastic ring gastric bypass: results in 64 patients. Abstract Text:

N A Crampton,V Izvornikov,R S Stubbs,

BACKGROUND: The silastic ring gastric bypass (SRGB) was introduced by Fobi in 1989, in an effort to combine the advantages of the Roux-en-Y gastric bypass with those of the vertical banded gastroplasty, while avoiding the disadvantages of each. METHODS: The results of our first 64 patients who underwent SRGB with a 5.5 cm ring have been reviewed with particular attention to weight loss, short- and medium-term morbidity and patient satisfaction. Most patients have had regular follow-up, and those not seen during the last 6 months were sent a postal questionnaire. RESULTS: The patients included 52 females and 12 males, ranging in age from 23 to 59 years (median age=39 years) at the time of surgery. Median preoperative weight, body mass index (BMI) and % excess weight were 126 kg (range 89-253 kg), 44 kg/m2 (range 36-78 kg/m2) and 113 (range 76-209) respectively. There were no serious postoperative complications and no deaths. Median hospital stay was 7 days (range 5-14 days). Eight patients (13%) are known to have had a staple-line dihiscence. Eighteen patients (28%) have had major difficulties with eating, and in nine (14%) of these the silastic ring has been removed with resolution of the eating problems, but some gain in weight. In the 54 patients with follow-up data at 2 years, median weight was 78 kg (range 55-137 kg), median BMI was 27 kg/m2 (range 20-43 kg/m2) and mean +/- SD % excess weight loss was 69+/-16. After 2 years of follow-up, eight of 54 patients (15%) were unhappy with the results of the procedure. CONCLUSION: SRGB is an effective, safe and well-tolerated procedure for achieving weight loss in the morbidly obese. The principal drawbacks relate to staple-line problems and eating difficulties related to the silastic ring. A 5.5 cm ring is probably too small to be ideal.

Silastic ring gastric bypass: results in 64 patients. Publishing Authors By Initials

NA Crampton,V Izvornikov,RS Stubbs,

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Silastic ring gastric bypass: results in 64 patients. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Obesity surgery

VOLUME: 7

Page Numbers: 489-94

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ISSN: 0960-8923

DAY: 5

MONTH: Dec

YEAR: 1997

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LANGUAGE: eng

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AFFILIATION: Wakefield Gastroenterology Centre, Wakefield Hospital, Wellington, New Zealand.

Country: ENGLAND

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MEDLINETA: Obes Surg

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