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Gastric Surgery for Morbid Obesity: The Adelaide Study
Open accessAbstract
The efficacy of three gastric restriction operations were compared in a prospective randomized study of 310 morbidly obese subjects. The median patient age was 34 years (range, 18 to 62 years). They were predominantly female (13:1) and had a median pre-operative weight that was 198% of their ideal weight (range, 160% to 318%). There was an equitable dispersion of perceived risk factors between the groups under study and there were no deaths during the perioperative period. Compliance with follow-up at 3 years was 91%. When success was defined as a loss of more than 50% of excess weight or a current pregnancy, the success rates at 3 years were 17% for gastrogastrostomy, 48% for vertical gastroplasty, and 67% for Roux-en-Y gastric bypass (p less than 0.001). Although the gastric bypass operation took longer to perform, there were similar outcome patterns for the three groups during the postoperative period. We conclude that the Roux-en-Y gastric bypass is the preferred procedure for the surgical treatment of morbid obesity.
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Cited by
Bariatric Surgery: A Systematic Review and Meta-analysis
Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004) · JAMA · doi:10.1001/jama.292.14.1724 · Cited by 6,800
Picot, J., Jones, J., Colquitt, J., Gospodarevskaya, E., Loveman, E., Baxter, L., & Clegg, A. (2009) · Health Technology Assessment · doi:10.3310/hta13410 · Cited by 1,066
“148 and Hall et al.149 (abdominoplasty) 4. Rates of reversal surgeries were taken from RCT of GBP versus VBG Hall et al.149 Different lengths of hospital stay and post-hospital recovery attract different utility weights. Length of hospital stay associated with initial surgery (by gender) was apparently obtained from t…”
MethodKlein, S., Burke, L. E., Bray, G. A., Blair, S., Allison, D. B., Pi-Sunyer, X., Hong, Y., & Eckel, R. H. (2004) · Circulation · doi:10.1161/01.cir.0000145546.97738.1e · Cited by 934
Long-term Follow-up After Bariatric Surgery: A Systematic Review
Puzziferri, N., Roshek, T. B., Mayo, H. G., Gallagher, R., Belle, S. H., & Livingston, E. H. (2014) · JAMA · doi:10.1001/jama.2014.10706 · Cited by 819
Douketis, J. D., Macie, C., Thabane, L., & Williamson, D. F. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0802982 · Cited by 665
Metadata
- Authors
- HALL, J. C., WATTS, J. M., OʼBRIEN, P. E., DUNSTAN, R. E., WALSH, J. F., SLAVOTINEK, A. H., & ELMSLIE, R. G.
- Venue
- Annals of Surgery
- Published
- 1990-04
- Volume
- 211
- Issue
- 4
- Pages
- 419-427
- ISSN
- 0003-4932 (ISSN-L)
- OpenAlex
- W2019209612
- Cited by
- 311
- References
- 0
- FWCI
- 8.85
- Type
- journal article
- Language
- en
- Open access
- green
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- HALL, J. C., WATTS, J. M., OʼBRIEN, P. E., DUNSTAN, R. E., WALSH, J. F., SLAVOTINEK, A. H., & ELMSLIE, R. G. (1990). Gastric Surgery for Morbid Obesity: The Adelaide Study. Annals of Surgery. https://doi.org/10.1097/00000658-199004000-00007
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