Laparoscopic Roux-en-Y Gastric Bypass for Super-Obese
About Super-Obesity
| Bariatric Surgery information Laparoscopic Roux-en-Y Gastric Bypass for Super-Obese |
About Super-Obesity |
|
Laparoscopic Roux-en-Y Gastric Bypass: Minimally Invasive Bariatric Surgery for the Super-Obese in the Community Hospital Setting Roux-en-Y gastric bypass (RYGB) operation has become a popular choice for weight-reduction surgery. We report an outcome analysis of our early results with laparoscopic Roux-en-Y gastric bypass for superobese (BMI >50) patients. Method Between January 2000 and October 2001, we operated on 71 super-obese patients. The mean body mass index (BMI) of patients at time of surgery was 57 kg/m2. The prospectively collected data included patient demographics, comorbidities, operative times, postoperative weight loss, and complications. Conversion to open gastric bypass was required in one patient. Results The overall complication rate was 10 per cent. Preoperative comorbidities were resolved or improved in 93 per cent of patients at 1-year postoperative. Average operative time and length of hospital stay were 196 minutes and 2.3 days, respectively. Mean percentage excess weight loss at 3, 6, 9, and 12 months was 27 per cent, 39 per cent, 49 per cent, and 55 per cent, respectively. Mean BMI decreased to 36 kg/m2 over a 12-month period. Conclusion Laparoscopic Roux-en-Y gastric bypass surgery for superobese patients as performed in the community hospital setting can be both safe and effective with respect to overall postoperative course, early weight loss, and reduction of comorbidity. Source: Gastric Bypass Surgery to Reduce Obesity |