Gastroplasty for severe obesity

Bryant J, Best L, Milne R
Record ID 31998008886
English
Authors' objectives:

The authors examine whether vertical banded gastroplasty (VBG) is effective as a treatment for seriously obese people.

Authors' results and conclusions: The literature suggests that although none of the therapies for treating severe obesity has been adequately evaluated, surgery, such as VBG, is currently the only treatment method with even a modicum of success in achieving and maintaining weight loss. Although some patients are successfully treated with strictly supervised diet and rational behaviour therapy, most are not and the observed weight loss is not maintained. The potential benefits of gastroplasty, apart from weight loss, include amelioration of co-morbidity and improved psychosocial function as a result of weight loss.
Authors' recommendations: The authors conclude that studies suggest that for some individuals gastroplasty may have significant benefits, particularly in the short term. Long-term follow-up is needed with careful medical and nutritional monitoring to prevent digestive or nutritional complications. However, gastroplasty is not the best treatment for most severely obese patients and patient selection is a key issue. Further research is needed to develop predictors of who may benefit and to compare the various modern surgical procedures. More long-term data is required. Prevention of obesity is still regarded as the best policy
Authors' methods: Review
Details
Project Status: Completed
URL for project: http://www.wihrd.soton.ac.uk
Year Published: 1997
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England
MeSH Terms
  • Costs and Cost Analysis
  • Gastroplasty
  • Obesity
  • Obesity, Morbid
Contact
Organisation Name: Wessex Institute for Health Research and Development
Contact Address: Pauline King. Wessex Institute for Health Research and Development, Boldrewood Medical School, Bassett Crescent East, Highfield, Southampton. SO16 7PX Tel. +44 1703 595661 Fax +44 1703 595662
Copyright: Wessex Institute for Health Research and Development (WIHRD)
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