[Long-term results of laparoscopic gastric bypass in patients with morbid obesity. a prospective study of 508 cases].

Autor:	Luján J; Servicio de Cirugía General y Aparato Digestivo I. Hospital Universitario Virgen de la Arrixaca. El Palmar. Murcia. España. juanlujan@telefonica.net, Frutos MD, Hernández Q, Valero G, Parrilla P
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2008 Feb; Vol. 83 (2), pp. 71-7.
DOI:	10.1016/s0009-739x(08)70509-8
Abstrakt:	Introduction: Although there are publications on the short-medium term results of gastric bypass, publications of long-term results are very limited and the results are less documented. Patients and Method: In this article we present the experience of the same surgical team with laparoscopic gastric bypass over 7 years, with a follow-up of 97% of the patients. From March 2000 until May 2007, 508 laparoscopic gastric bypasses were performed by the same surgical team. Results: Of the 508 patients who were subjected to laparoscopic gastric bypass, 353 were women (69.5%) and 155 were men (30.5%), with a mean age of 40 years (16-71), a mean pre-operative weight of 131.3 +/- 24.5 kg (80-230) and a mean BMI of 48.3 +/- 7 (34-78). There were early complications (< 30 days) in 14.7% of the patients and delayed complications (> 30 days) in 7.3%. The mean operation time was 125.8 +/- 35.6 minutes (60-300). The mean hospital stay was 3 +/- 2.6 days (1-40). The mortality of the series was 0.8%. The EWL and BMI loss at 3 and 5 years was 77.8% and 75.1% and 82.7% and 79.8%, respectively. Conclusions: Laparoscopic gastric bypass is an effective technique for the long-term treatment of morbid obesity, with a low number of complications, low mortality, excellent weight loss and recovery or improvement of the comorbidities associated with these patients.
Databáze:	MEDLINE
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