• We report follow-up findings after two to almost four years on 100 patients who were described in a previously published prospective randomized series. Horizontally stapled gastric partition (gastroplasty) was compared with gastric exclusion (bypass) using a Roux-en-Y jejunal loop. An additional 142 patients had the identical operative procedures performed during the same time period, but chose their own operation. Both procedures used a small gastric pouch (15 mL) and calibrated 10-mm opening. Weight loss was better after exclusion and has continued to be better. Patients who lose weight well do not regain. There were complications in 8% of the exclusion patients and 12% of the partitioning patients and one death in the exclusion group—0.4% of the total group. Since gastric exclusion is safe and produces significantly better weight loss, we believe it sets the current standard against which all other bariatric surgery must be compared.
(Arch Surg 1983;118:685-692)