Outcomes of Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP)
Results of Laparoscope-Assisted Bypass Procedure
| Bariatric Surgery information Outcomes of Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP) |
Results of Laparoscope-Assisted Bypass Procedure |
Guide to Weight Loss Surgery - Research Into Gastric Reduction Surgery |
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Outcomes of Laparoscopic Roux-en-Y Gastric Bypass Operations (LRYGBP) Laparoscopic Roux-en-Y gastric bypass is a technically demanding procedure with a steep learning curve. Experienced laparoscopic surgeons and bariatric surgeons can learn from the outcomes and complications of their initial experience in LRYGBP. Methods Between August of 2002 and July of 2003, we performed our first 100 laparoscopic Roux-en-Y bypasses. Our surgical technique involves the ante-colic, ante-gastric placement of the Roux-limb. A 21-mm circular stapler is used to create the gastrojejunostomy. The stapler anvil is placed transgastrically. Results The mean preoperative BMI was 49.7 kg/m(2) (range 37-70). 12% of patients were male. Early complications (14%) included 3 leaks, 4 bleeding episodes and 2 gastrogastric fistulas. There was 1 peri-operative mortality and 1 conversion to laparotomy. Late complications (17%) included stenosis of the gastrojejunostomy which occurred in 14 patients. Leaks occurred more commonly in males. Elevated BMI was also found to be a risk factor for leak. Stenosis was often associated with other complications such as leak or marginal ulcer. Stenosis responded well to endoscopic dilation. Co-morbid medical conditions responded to weight loss in all patients, regardless of initial BMI. Mean excess weight loss was 69% at 1 year, but varied according to preoperative BMI. Conclusion Careful recording of patient outcomes and complications is important, particularly in a new minimally invasive bariatric surgery program. Review and analysis of specific complications may help to minimize the occurrence of similar subsequent complications. Authors: Source: Laparoscopic Gastric Bypass Surgery Information |