ABSTRACT
Simple gastric restriction was introduced as a surgical method to achieve weight reduction for clinically severe obesity by Mason et al. in 1971 in the form of a horizontal gastroplasty (1). Over the next decade, as numerous attempts were made to modify the procedure, it became apparent that the horizontal orientation of the pouch, which incorporated the fundus, dilated significantly over time, and the outlet was resistant to stabilization efforts, both of which contributed to poor weight loss and frequent revisions (2).
