Which gastroplasty for the correction of massive obesity?

The results of vertical and horizontal gastroplasty were evaluated in 26 grossly obese patients. Weight loss with both techniques over 2 years was comparable to that of jejuno-ileal bypass, but without the metabolic complications. Horizontal gastroplasty however, had a higher rate of stoma revision as compared with vertical gastroplasty. Vertical gastroplasty is now the operation favoured in this unit.