Access to the bypassed gastric segment The marked gastrostomy site in the FPO provides ready access to the bypassed gastric segment for radiological and endoscopic evaluation. Access to this segment for feeding purposes in cases of rapid weight loss, problems with the gastric outlet, or in the rare case of protein malnutrition, is also facilitated by the marked gastrostomy site. The FPO operating time, in experienced hands, is about double the time that a vertical banded gastroplasty operation takes. However, the significant difference in the amount of weight loss and the low revision rate with the associated morbidity seen in revisions, make the FPO a much more desirable operation than any of the restrictive operations. Information on these deficiencies are given to the patients and they are placed on nutritional supplements for the rest of their lives.
Yearly monitoring is required.
Protocol for Fobi-Pouch Surgery Four days hospitalization consisting of an AM surgery admission with discharge in four days. Follow up is at seven to ten days, six weeks, three months, six months and yearly thereafter. Preoperative work-up may include CBC, SMA 22, Thyroid profile, Hepatitis panel, EKG, CXR, GB ultrasound, UGI series, Body Composition, treadmill evaluation, esophagogastroduodenal endoscopy and other tests as may be deemed necessary by the patient's condition. A specialized team is used for management of patients, consisting of an anesthesiologist, scrub nurse, circulating nurse, patient counselor, cardiologist, pulmonary specialist and surgeons. Psychiatric disorders have not been found to be a contraindication for the procedure.