Gastroplasty for morbid obesity. Roentgen evaluation and spectrum of complications

With the advent of autosuture devices, gastric partitioning procedures have recently become popular surgical treatment of morbid obesity. One such procedure is Gomez gastroplasty. Using an autosuture device a small gastric fundal pouch, having a reservoir capacity of 60 ml and communicating with the remaining stomach through a 12 mm stoma is created along the greater curvature of the stomach. A 3-0 polyprolene internal seromuscular suture is used to reinforce the stoma without incising the stomach. This gastroplasty is extremely attractive because of the disarming simplicity of the procedure and its noninterruption of the normal sequence of the digestive tract. This report is based on a joint review of 280 cases subjected to Gomez gastroplasty to combat morbid obesity. Postoperative radiological evaluation and the spectrum of observed complications are herein described.