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Long-term outcomes of morbidly obese patients treated with gastrogastrostomy

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Abstract

Long-term outcomes in 123 morbidly obese patients who had undergone gastrogastrostomy were studied to determine weight losses 19 to 47 months after surgery. Follow-up data were available for 84% (103) of the patients. Overall, 58% of these (60 of 103) had maintained losses of ≥30% excess weight. Using a best case/worst case analysis, between 49% and 65% of patients had achieved losses of ≥30% excess weight. Six patients had gained weight. Eighty-seven per cent of the patients reported increased or stable energy levels; job status was stable or improved for 95%; and 20% had been rehospitalized. Use of antihypertensive medication and use of insulin had decreased. Over two thirds (69%) of the patients stated they would recommend gastrogastrostomy to a friend, and 54% were either very satisfied or satisfied with the operation. Energy level and degree of satisfaction were related to amount of weight lost. Gastrogastrostomy achieved long-term moderate weight losses in three fifths of morbidly obese patients, without causing serious adverse health outcomes.

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Authors and Affiliations

  1. Box 2, Room 5039, Old Clinic Building 226H, School of Medicine, University of North Carolina, 27514, Chapel Hill, NC

    Suzanne W. Fletcher MD

Authors
  1. Keith S. Thompson MD
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  2. Suzanne W. Fletcher MD
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  3. Michael S. O’Malley MSPH
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  4. Joseph A. Buckwalter MD
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Additional information

Received from the Departments of Medicine, Surgery and Epidemiology, the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Supported in part by the Robert Wood Johnson Teaching Hospital General Medicine Group Practice Program.

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Thompson, K.S., Fletcher, S.W., O’Malley, M.S. et al. Long-term outcomes of morbidly obese patients treated with gastrogastrostomy. J Gen Intern Med 1, 85–89 (1986). https://doi.org/10.1007/BF02599805

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  • DOI: https://doi.org/10.1007/BF02599805

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