Vicki's Surgery Performed in May 1980
Horizontal Gastroplasty (Gastric Stapling )
The gastroplasty was designed in the early 1970s to be a safer alternative to the gastric bypass and the intestinal bypass (JIB). The operation itself was made possible by the introduction of mechanical staplers.
During World War II, the Russians, as part of their war effort, developed a series of surgical instruments which would staple various body tissues together as a simple and rapid method of dealing with injuries. This concept was adapted and refined by American surgical instrument makers after the war, leading to the surgical stapling instruments in use today.
These are capable of laying down as many as four parallel rows of staples, to create a partition, or the instrument comes with a knife blade which will cut between the newly placed staple rows, dividing and sealing the stapled tissues simultaneously. Other instruments place circular rows of staples which will join two tubes end to end, very useful in connecting intestine together.
The gastroplasty was the first purely restrictive operation performed for the treatment of obesity. The original (horizontal) gastroplasty involved stapling the stomach into a small partition – and only leaving a small opening for food to pass from the upper stomach pouch to the lower one. Thus the lay term – stomach stapling. This form of gastroplasty resulted in very poor long-term weight loss and, after several attempted modifications, was abandoned eventually.
ASBMS story of obesity
My Surgeon also narrowed my eosuphagus as an experiment, this is not shown in diagram.