Effective weight loss was achieved in morbidly obese patients after undergoing  bariatric surgery .
A substantial majority of patients with diabetes , hyperlipidemia , hypertension , and obstructive sleep apnea experienced complete resolution or improvement
CONTEXT About 5 % of the US population is morbidly obese .
This disease remains largely refractory to diet and drug therapy , but generally responds well to bariatric surgery .
OBJECTIVE To determine the impact of bariatric surgery on weight loss , operative mortality outcome , and 4  obesity  comorbidities ( diabetes , hyperlipidemia , hypertension , and obstructive sleep apnea ) .
Prospective evaluation of vertical banded gastroplasty as the primary operation for morbid obesity.
Our previous experience with vertical ( nonb and ed ) gastroplasty proved disappointing because of unsatisfactory maintenance of weight loss .  Vertical b and ed gastroplasty seemed to be an attractive alternative operation because it provided an externally reinforced ( b and ed ) stoma that would not enlarge over time . In this study , our aim was to determine prospect ively the results of vertical b and ed gastroplasty used as a primary , weight-reducing procedure in patients with morbid obesity . Seventy consecutive patients with morbid obesity ( mean weight , 139 kg ) , all of whom had obesity-related complications , underwent vertical b and ed gastroplasty and prospect i ve follow-up . The hospital mortality was nil , and substantial morbidity occurred in 3 % ( two patients ) . Long-term achievement and maintenance of satisfactory weight loss , however , were variable . The median weight loss at 1 year after operation was 36.7 kg or 48 % of excess body weight . At 3 years postoperatively , however , weight loss was only 32.4 kg or 40 % of excess body weight , and only 38 % of patients had achieved and maintained a weight loss of 50 % or more of their preoperative excess body weight . Vertical b and ed gastroplasty caused major changes in eating habits , and many patients were unable to eat red meat or untoasted bread ; moreover , approximately 30 to 50 % of patients continued to vomit once or more per week . Despite theoretically attractive advantages as a weight-reduction operation , vertical b and ed gastroplasty does not seem to be the optimal procedure for most patients with morbid obesity
Effective weight loss was achieved in morbidly obese patients after undergoing  bariatric surgery .
A substantial majority of patients with diabetes , hyperlipidemia , hypertension , and obstructive sleep apnea experienced complete resolution or improvement
CONTEXT About 5 % of the US population is morbidly obese .
This disease remains largely refractory to diet and drug therapy , but generally responds well to bariatric surgery .
OBJECTIVE To determine the impact of bariatric surgery on weight loss , operative mortality outcome , and 4  obesity  comorbidities ( diabetes , hyperlipidemia , hypertension , and obstructive sleep apnea ) .