Interval Jejunoileal Bypass Reduces Morbidity Mortality of Roux-en-Y Bypass in Super-Obese
Review of Jejunoileal Bypass Surgical Procedure to Reduce Health Risks in Patients with Super-Obesity
| Bariatric Surgery information Interval Jejunoileal Bypass Reduces Morbidity Mortality of Roux-en-Y Bypass in Super-Obese |
Review of Jejunoileal Bypass Surgical Procedure to Reduce Health Risks in Patients with Super-Obesity |
|
Weight Loss Surgery Information - Bariatric Research Studies |
Interval Jejunoileal Bypass Reduces the Morbidity and Mortality of Roux-en-Y Gastric Bypass in the Super-ObeseAmong Roux-en-Y gastric bypass (RYGB) patients, large male patients carry the greatest risk for severe, life-threatening complications. The higher complication rate is partly related to large amounts of intra-abdominal fat that increases the technical difficulty of the Roux-en-Y gastric bypass. Method In order to minimize the risk for complications, we established a staged approach for weight loss surgery for high-risk, super-obese patients. Patients with intra-abdominal fat at exploration which precluded the performance of Roux-en-Y gastric bypass underwent jejunoileal bypass (JIB). Following an initial period of weight loss (6-24 months), they were converted to a Roux-en-Y gastric bypass during a second operation. Twenty-four patients underwent initial JIB that was associated with a major complication rate of 8.3 per cent (2/24) and no mortality. Results Eight patients lost 53.4 +/- 6.3 kg prior to their conversion to Roux-en-Y gastric bypass (mean, 14.1 months). There was one major complication (12%) and no deaths (0%). Following RYGB, an additional period of weight loss resulted in overall excess weight loss (EWL) totaling 62 per cent. Conclusion A two-step procedure is a safe and effective approach for minimizing complications for high-risk patients undergoing Roux-en-Y gastric bypass. The initial JIB was associated with low morbidity and no mortality, and the follow-up RYGB procedure was a technically simple operation that could be performed with few complications. Source: Gastric Bypass Weight Loss Surgery |