Practicing surgery for morbid obesity for 21 years and after 1,007 operations, using different techniques, we selected gastric bypass as our first choice method, for its efficiency and low tolerable undesirable effects. 795 patients were operated, mostly using Capella's procedure: vertical gastric division, with silastic ring and Roux-en-Y bypass. Mean preoperative BMI was 60kg/m², 89.5% of the patients had comorbidities. Severe postoperative complications (pulmonary embolism and digestive fistulas) occurred in 3.6% of the patients, causing 8 deaths (1%). Follow up through 30 months revealed mean percent body weight loss of 40% from the pre-operative weight, with stabilization after 1 year. Pre-operative BMI: 60kg/m² (mean); final BMI: 35kg/m² (mean). As consequence, great relief on comorbidities was registered.
Obesity; Obesity - treatment; Obesity - surgery
