1. The History of Bariatric Surgery
Abeezar I. Sarela
Consultant in Upper GI & Bariatric Surgery
St James’s University Hospital, Leeds

6. 10,000 cases since Dec 2008
Estimated need for England: 1,40,000

7. End-to-end jejunoileostomy with
ileo-caecostomy
1953: Varco, University of Minnesota
1954: Kremen, Linner & Nelson: University of Minnesota

8. End-to-side
jejuno-transverse colostomy
1963- Payne & DeWind

9. End-to-side jejunoileostomy
1965 - Sherman

10. End-to-side jejuno-caecostomy
1966 – Lewis, Turnbull & Page

11. Classic
“14 + 4” end-to-side jejunoileostomy
1969 – Payne & DeWind

12. End-to-end jejunoileostomy
with ileo-sigmoidostomy
1971 – Scott

13. End-to-side jejuno-ileostomy
with an anti-reflux valve or plication
1977 – Forestieri
1978 - Starkloff

14. End-to-end jejuno-ileostomy
with ileo-gastrostomy
1988 – Cleator & Courlay

15. Bilio-Intestinal bypass
1978 – Lavorato
1981 - Eriksson

16. Bilio-Pancreatic Diversion
1979 - Scopinaro

17. Duodenal switch
with cross-stapling of the duodenum
1993 - Marceau

18. Duodenal switch
with division of the duodenum
1998 – Hess & Hess

19. Gastric transection
with loop gastrojejunostomy
1967 – Mason & Ito, Iowa

20. Horizontal gastric stapling with loop
gastrojejunostomy
1977 - Alden

21. Horizontal gastric stapling with
Roux-en-Y gastrojejunostomy
1977 - Griffen

22. Vertical gastric stapling with
Roux-en-Y gastrojejunostomy
1983 – Torres, Oca & Garrison

23. Where it all began….

24. The Magenstrasse & Mill Operation
David Johnston

25. Sleeve Gastrectomy

26. Vertical gastric stapling with
Roux-en-Y gastrojejunostomy with
long bilio-pancreatic limb
1987 – Torres & Oca

27. Vertical gastric division with interposed
Roux-en-Y gastrojejunostomy and
proximal silastic ring
1991- Fobi

28. Laparoscopic Roux-en-Y gastric
bypass
1994 – Wittgrove and Clark

29. Partial gastric transection, greater
curve conduit
1971 – Mason & Printen

30. Horizontal gastric stapling,
greater curve conduit
1979 - Gomez

31. Gastric partitioning
1979 – Pace & Carey

32. Total horizontal gastric stapling with
gastrogastrostomy
1979 – LaFave & Alden

33. Gastroplasty: Vertical stapling
1981: Fabito

34. Silastic ring vertical gastroplasty
1981 - Laws

35. Vertical Banded Gastroplasty
1982 - Mason

36. Gastric Band
1978 – Wilkinson
1982 – Kolle
1983 - Molina

37. Adjustable Silastic Gastric Band
1986 - Kuzmak

38. Laparoscopic adjustable gastric band
1993 - Forsell