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July 16, 1982

Medical News

JAMA. 1982;248(3):277-287. doi:10.1001/jama.1982.03330030003001

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Bad and good news on gastroplasty 

'Still in developmental stage'  A sobering assessment of gastric partitioning, a type of gastroplasty colloquially known as "gastric stapling," comes from Joel B. Freeman, MD, chief of general surgery at the University of Ottawa Faculty of Medicine's Ottawa General Hospital in Canada.Freeman believes that particularly the commonly done horizontal stapling procedure, which has become the last hope for thousands of patients with morbid obesity, is "still in its developmental stage" and should not be performed as it is today. He says that "many, many thousands" of these operations have been performed in North America in the past four or five years and that "many more thousands" are being done each year. He adds that surgeons at some hospitals perform as many as five to seven gastric stapling procedures per week.Discussing a four-year study at the recent Digestive Disease Week meetings in