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Laparoscopic Roux-en-Y Gastric Bypass: Technically Difficult But Effective
Review of LRYGB for the Treatment of Severe Obesity
Outcome analysis of laparoscopic Roux-en-Y gastric bypass for morbid obesity. The first 116 cases
Morbid obesity has been described as a continuing epidemic affecting a growing portion of our population. We report an outcome analysis of our early experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) in the treatment of morbid obesity.
Two surgeons performed 116 consecutive laparoscopic Roux-en-Y gastric bypass operations at a single institution, creating a 25-ml pouch and a 90- to 150-cm Roux limb. The prospectively collected data included patient demographics, comorbidities, postoperative weight loss, and complications.
All eight conversions to an open procedure occurred early during the experience of the surgeons. The mean operating room time for the first 50 cases was 272 min, which decreased to 198 min with experience. The mean length of hospital stay was 3 days. There were 34 complications in 27 patients (23.3%), 14 of which (12%) required reoperation. At 18 months postoperatively, the patients had lost 77% of their excess weight, and their body mass index had decreased from a mean of 49.3 to 32.6 kg/m2. As a result of laparoscopic Roux-en-Y gastric bypass, 25% of the patients were rendered completely free of any pharmacologic treatment for their preexisting comorbidities.
Although technically challenging, laparoscopic Roux-en-Y gastric bypass can be performed safely with excellent long-term results. The mean operating room time and conversion rate improved with experience. As this study showed, laparoscopic Roux-en-Y gastric bypass procedures achieve an excellent rate of weight loss and improvement in preoperative comorbidities with a minimal length of hospital stay and an acceptable complication rate.
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2018 Bariatric-Surgery.Info - Terms - Contact - Information - Resources