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June 1983

Comparison of Weight Loss After Gastric Exclusion and Partitioning

Author Affiliations

From the Department of Surgery, Wright State University School of Medicine (Drs Lechner and Elliott) and the Kettering Medical Center (Drs Lechner and Elliott), Dayton, Ohio, and the Sycamore Hospital, Miamisburg, Ohio (Dr Lechner).

Arch Surg. 1983;118(6):685-692. doi:10.1001/archsurg.1983.01390060007002

• We report follow-up findings after two to almost four years on 100 patients who were described in a previously published prospective randomized series. Horizontally stapled gastric partition (gastroplasty) was compared with gastric exclusion (bypass) using a Roux-en-Y jejunal loop. An additional 142 patients had the identical operative procedures performed during the same time period, but chose their own operation. Both procedures used a small gastric pouch (15 mL) and calibrated 10-mm opening. Weight loss was better after exclusion and has continued to be better. Patients who lose weight well do not regain. There were complications in 8% of the exclusion patients and 12% of the partitioning patients and one death in the exclusion group—0.4% of the total group. Since gastric exclusion is safe and produces significantly better weight loss, we believe it sets the current standard against which all other bariatric surgery must be compared.

(Arch Surg 1983;118:685-692)

Mason EE, Ito C:  Gastric bypass in obesity . Surg Clin North Am 1967;47:1345-1351.
Van Itallie TB:  Obesity: Adverse effects on health and longevity . Am J Clin Nutr 1979;32:2723-2733.
Drenick EJ:  Definition and health consequences of morbid obesity . Surg Clin North Am 1959;59:963-976.
Drenick EJ, Bale GS, Seltzer F, et al:  Excessive mortality and causes of death in morbidly obese men . JAMA 1980;243:443-445.Article
Lechner GW, Callender AK:  Subtotal gastric exclusion and gastric partitioning: A randomized prospective comparison of 100 patients . Surgery 1981;90:637-643.
Eskind SJ, Massie JD, Born ML, et al:  Experimental study of double staple lines in gastric partitions . Surg Gynecol Obstet 1981;152:695-700.
Griffen WO Jr, Young L, Stevenson CC:  A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity . Ann Surg 1977;186:500-509.Article
Gomez CA:  Gastroplasty in the surgical treatment of morbid obesity . Am J Clin Nutr 1980;33:406-415.
Lechner G: Gastric exclusion vs gastric partitioning for morbid obesity: Technique and results of a randomized prospective study, videotape. Chicago, American College of Surgeons, 1981.
Pories WJ, Flickinger EG, Meelheim D, et al:  The effectiveness of gastric bypass over gastric partition in morbid obesity . Ann Surg 1982;196: 389-399.Article
Metropolitan Life Insurance Company: New weight standards for men and women. Stat Bull Metropol Life Insur Co, 1959, p 1.
Andres R:  The obesity-mortality association: Where is the nadir of the U-shaped curve? Trans Assoc Life Insur Med Dir Am 1980;64:185-197.
Printen KJ, Mason EE:  Gastric bypass for morbid obesity in patients more than 50 years of age . Surg Gynecol Obstet 1977;144:192-194.
Linner JH:  Comparative effectiveness of gastric bypass and gastroplasty: A clinical study . Arch Surg 1982;117:695-700.Article