Gastric partitioning: The latest surgical means to control morbid obesity
1981
Mojzisik, Cathy M. | Martin, Edward W.
A modification of gastric bypass procedure, called gastric partitioning, involves applying staples across the stomach, creating a small pouch. Very small quantities of food then satisfy the morbidly obese patient for normal duration. This operation is simple, requires less anesthesia, avoids opening the gastrointesinal tract, and provides controlled weight reduction without nutritional consequences or social inconveniences. Candidates for the operation must be twice the ideal body weight, must have failed other weight-loss therapy, and must have a strong personal desire to lose weight. A team of physicians, nurses and dietitians interview the candidates and prepare them through a series of educational sessions describing the procedure, diet, etc. The patient care plan includes daily exercise, calorie-counting, behavior modification and extensive preoperative and postoperative care. Pulmonary and cardiovascular complications are most common. A nasogastric tube is inserted for 3 days. Only liquids are allowed for 8 weeks, during which time the patient is taught blender-preparation for foods and transition to solids.
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