Open Roux-en-Y Gastric Bypass Better for Morbidly Obese Patients
Review of Laparoscopic Versus Open Roux-en-Y Stomach Bypass
| Bariatric Surgery information Open Roux-en-Y Gastric Bypass Better for Morbidly Obese Patients |
Review of Laparoscopic Versus Open Roux-en-Y Stomach Bypass |
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Weight Loss Surgery Information - Bariatric Research Studies |
Open Roux-en-Y Gastric Bypass for Morbidly Obese Patients in the Era of LaparoscopyRoux-En-Y gastric bypass (RYGB) has been the preferred operative treatment for morbid obesity. Recently, laparoscopic Roux-En-Y gastric bypass has been described. We reviewed our data and believe that open Roux-En-Y gastric bypass is still the better option. Method One hundred three consecutive cases were retrospectively reviewed for preoperative conditions, perioperative outcomes, and postoperative complications with weight/health changes. Results The mean follow-up was 5 months. The mean percent excess body weight loss was 33%. Comorbidities improved 50% of the time. The mean operative time was 117 minutes with blood loss averaging 208 cc. The mean intensive care unit stay was 1.3 days, with a total hospital stay of 4.4 days. There was an 8% major complication rate and a 1% mortality rate. Conclusion The health improvement and complication rates are comparable to published series on laparoscopic Roux-En-Y gastric bypass. With the technical complexity of the laparoscopic technique, open Roux-En-Y gastric bypass should remain the current standard of care, in most centers. Source: Bariatric Weight Loss Surgery |