Skip to main content
SpringerLink
Log in

Gastric Operations: General Principles

  • Chapter
Book cover Surgery for Morbid Obesity

Abstract

Gastric reduction operations, with and without distal gastric exclusion, were developed by Mason and Ito1,2 at the University of Iowa from 1965 to 1971. These procedures have undergone a host of modifications by their originators as well as by others.3–6,46 The prototype was a Billroth II gastric bypass but without resection of the distal stomach (Figs. 4–1 and 4–2). The stomach was transected horizontally across the upper fundus, totally separating the distal stomach from the proximal gastric pouch, which was anastomosed to a loop of jejunum. Suture technique was used. In 1971 Mason altered the procedure by partially transecting the stomach from the lesser curvature, leaving a channel on the greater curvature—the first gastroplasty (Fig. 4–3).3 Alden7 introduced the use of the staple instrument to provide an incontinuity division between the upper pouch and distal stomach. This simplified the operation and made it safer (Fig. 4–4).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mason EE, Ito C: Gastric bypass in obesity. Surg Clin North Am 47: 1345, 1967.

    PubMed  CAS  Google Scholar 

  2. Mason EE, Ito C: Gastric bypass. Ann Surg 170: 329, 1969.

    CAS  Google Scholar 

  3. Mason EE, Printen KJ, Blommers TJ, Lewis JW, Scott DH: Gastric bypass for obesity. Am J Clin Nutr 33: 395–405, 1980.

    PubMed  CAS  Google Scholar 

  4. Mason EE, Printen KJ, Hartford CE, Boyd WC: Optimizing results of gastric bypass. Ann Surg 182: 405, 1975.

    Article  PubMed  CAS  Google Scholar 

  5. Mason EE: Surgical treatment of morbid obesity. Major Probl Clin Surg 26: 39–57, 1981.

    Google Scholar 

  6. Griffen WO Jr: Gastric bypass for morbid obesity. Surg Clin North Am 59: 1103, 1979.

    PubMed  Google Scholar 

  7. Alden JF: Gastric and jejunoileal bypass: a comparison in the treatment of morbid obesity. Arch Surg 112: 799, 1977.

    Article  PubMed  CAS  Google Scholar 

  8. Gomez CA: Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr 33: 406, 1980.

    PubMed  CAS  Google Scholar 

  9. Pace WG, Martin EW Jr, Tetirick T, Fabri PJ, Carey LC: Gastric partitioning for morbid obesity. Ann Surg 190: 392, 1979.

    Article  PubMed  CAS  Google Scholar 

  10. Tretbar LL, Taylor TL, Sifers EC: Weight reduction: Gastric plication for morbid obesity. J Kans Med Soc 77: 488, 1976.

    PubMed  CAS  Google Scholar 

  11. LaFave JW, Alden JF: Gastric bypass in the operative revision of the failed jejunoileal bypass. Arch Surg 114: 438, 1979.

    Article  PubMed  CAS  Google Scholar 

  12. Fabito DC: Vertical stapling gastroplasty for obesity. Presented to Bariatric Surgery Workshop, Iowa City, May 29 - 30, 1980.

    Google Scholar 

  13. Eckhout GV: Surgery for morbid obesity. Comparison of gastric bypass with vertically stapled gastroplasty. Colo Med 78: 117, 1981.

    PubMed  CAS  Google Scholar 

  14. O’Leary JP: Partition of the lesser curvature of the stomach in morbid obesity. Surg Gynecol Obstet 134: 85, 1982.

    Google Scholar 

  15. Vanltallie TB, Burton BT: National Institutes of Health Consensus Development Conference on Surgical Treatment of Morbid Obesity. Am Surg 189: 455, 1979.

    Google Scholar 

  16. Bothe A Jr, Bistrian BR, Greenberg I, Blackburn GL: Energy regulation in morbid obesity by multidisciplinary therapy. Surg Clin North Am 59: 1017–1031, 1979.

    PubMed  Google Scholar 

  17. Metropolitan Life Insurance Company: New weight standards for men and women. Stat Bull 40: 1, 1959.

    Google Scholar 

  18. Drenick EJ: Definition and health consequences of morbid obesity. Surg Clin North Am 59: 963–976, 1979.

    PubMed  CAS  Google Scholar 

  19. Walsh RE, Michaelson ED, Harkleroad LE, Zeghelboim A, Sackner MA: Upper airway obstruction in obese patients with sleep disturbance and somnolence. Ann Intern Med 76: 185, 1972.

    PubMed  CAS  Google Scholar 

  20. Lyons HA, Huang CT: Therapeutic use of progesterone in alveolar hypoventilation associated with obesity. Am J Med 44: 881, 1968.

    Article  PubMed  CAS  Google Scholar 

  21. Griffen WD, Bivins BA, Bell RM, Jackson KA: Gastric bypass for morbid obesity. World J Surg 5: 817–822, 1981.

    Article  PubMed  Google Scholar 

  22. Mason EE: Surgical Treatment of Obesity. Major Probl Clin Surg 26: 150, 1981.

    Google Scholar 

  23. Mason EE: Surgical Treatment of Obesity. Major Probl Clin Surg 26: 449 - 500, 1981.

    Google Scholar 

  24. Guyton AC: Textbook of Medical Physiology, 5th ed. Philadelphia, Saunders, 1976, pp 231–232.

    Google Scholar 

  25. Hornberger HR: Personal communication. Gastric Bypass Workshop, Iowa City, April 28–29, 1977.

    Google Scholar 

  26. Alder RL, Terry BE: Measurement and standardization of the gastric pouch in gastric bypass. Surg Gynecol Obstet 144: 762, 1977.

    PubMed  CAS  Google Scholar 

  27. Freeman JB, Burchett HJ: A comparison of gastric bypass and gastroplasty for morbid obesity. Surgery 88: 433, 1980.

    PubMed  CAS  Google Scholar 

  28. Lechner GW, Callender AK: Subtotal gastric exclusion and gastric partitioning: a randomized prospective comparison of 100 patients. Surgery 90: 637, 1981.

    PubMed  CAS  Google Scholar 

  29. Meredith JH: Achalasia: case report. Presented to Bariatric Surgery Workshop, Iowa City, May 29–30, 1980.

    Google Scholar 

  30. Villar HV, Wangensteen SL, Burks TF, Patton DD: Mechanisms of satiety and gastric emptying after gastric partitioning and bypass. Surgery 90: 229, 1981.

    PubMed  CAS  Google Scholar 

  31. Gomez CA: Gastroplasty in morbid obesity: a progress report. World Surg 5: 823–828, 1981.

    Article  CAS  Google Scholar 

  32. MacLean LP, Rhode BM, Shizgal HM: Gastroplasty for obesity. Surg Gynecol Obstet 153: 200, 1981.

    PubMed  CAS  Google Scholar 

  33. Linner JH: Comparative effectiveness of gastric bypass and gastroplasty: a clinical study. Arch Surg 117: 695, 1982.

    Article  PubMed  CAS  Google Scholar 

  34. Mason EE: Surgical treatment of obesity. Major Probl Clin Surg 26: 156, 1981.

    Google Scholar 

  35. Mason EE: Surgical treatment of morbid obesity. Major Probl Clin Surg 26: 391–393, 1981.

    Google Scholar 

  36. Kroyer JM: Marlex mesh around the channel. Presented at Bariatric Surgical Workshop, Iowa City, May 29–30, 1980.

    Google Scholar 

  37. Alden JF: Gastric bypass technique. Presented at Gastrointestinal Disease Course, A.C.S. Meeting, San Francisco, October 12–16, 1981.

    Google Scholar 

  38. Luigi LM: Distal gastrostomy and outlet obstruction. Presented at Bariatric Surgery Workshop, Iowa City, May 29–30, 1980.

    Google Scholar 

  39. Pace WG, Martin EW Jr, Tetirick T, Fabri PJ, Carey LC: Gastric partitioning for morbid obesity. Ann Surg 190: 392, 1979.

    Article  PubMed  CAS  Google Scholar 

  40. Martin EW: Gastric partitioning: an update. Presented at Bariatric Surgical Colloquium, Iowa City, June 1–2, 1981.

    Google Scholar 

  41. Brolm RE, Ravitch MM: Experimental evaluation of techniques of gastric partitioning for morbid obesity. Surg Gynecol Obstet 153: 877, 1981.

    Google Scholar 

  42. Printen KJ: Pathology of stapling. Presented at Bariatric Surgical Workshop, Iowa City, May 29–30, 1980.

    Google Scholar 

  43. Miller DK: Poster presentation: gastric bypass. Presented at Bariatric Surgical Colloquium, Iowa City, June 3–4, 1982.

    Google Scholar 

  44. Fischer MG: Staple line dehiscence in the laboratory. Presented at Bariatric Surgical Workshop, Iowa City, May 28–29, 1980.

    Google Scholar 

  45. Mason EE: Vertical banded gastroplasty for obesity. Arch Surg 117: 701, 1982.

    Article  PubMed  CAS  Google Scholar 

  46. Mason EE: Evaluation of gastric reduction for obesity. Contemp Surg 20: 17, 1982.

    Google Scholar 

  47. Kirkpatrick JR, Siegel T: Critical determinants of a successful gastric bypass: reservoir versus stoma. Am J Gastroenterol 77: 464, 1982.

    PubMed  CAS  Google Scholar 

  48. Laws HL: Ring gastroplasty for morbid obesity. ACS Clinical Congress-General Surgery Motion Pictures, Chicago, October 24–29, 1982.

    Google Scholar 

  49. Reinhold RB: Critical analysis of long-term weight loss following gastric bypass. Surg Gynecol Obstet 155: 385, 1982.

    PubMed  CAS  Google Scholar 

  50. Questionnaire. Bariatric Surgical Colloquium, Iowa City, June 2–3, 1983.

    Google Scholar 

Download references

Authors
  1. John H. Linner
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Linner, J.H. (1984). Gastric Operations: General Principles. In: Surgery for Morbid Obesity. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8245-4_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8245-4_4

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8247-8

  • Online ISBN: 978-1-4613-8245-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation