Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: Results of our Learning Curve in 100 Consecutive Patients
| Autor: | Jorge González-Barranco, Rafael Fajardo, Rosa Gamino, Miguel F. Herrera, Nayvi España, Enrique Stoopen-Margain |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Endocrinology Diabetes and Metabolism Gastric bypass Gastric Bypass Body weight Morbid obesity Conversion to open surgery Diabetes mellitus medicine Humans Prospective Studies Nutrition and Dietetics business.industry Mortality rate Stomach Reproducibility of Results Anastomosis Roux-en-Y medicine.disease Roux-en-Y anastomosis Obesity Morbid Surgery Treatment Outcome Operative time Female Laparoscopy Clinical Competence business |
| Zdroj: | Obesity Surgery. 14:201-205 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Background: Morbid obesity requires life-long treatment, and bariatric surgery provides the best results. Among the bariatric procedures, laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been considered to be superior. However, it requires advanced laparoscopic skills and a learning curve. We analyzed our results in an initial series of 100 patients. Methods: Data of 100 consecutive patients who underwent LRYGBP for morbid obesity in a 2.5-year period were prospectively collected and analyzed with emphasis on results and complications. Results: Mean age was 31±5 years. There were 63 woman and 37 men. Preoperative BMI was 50±9 kg/m2. 33 patients were considered super-obese (BMI>50). Mean operative time was 3.8 ± 0.7 hours. Two patients required conversion to open surgery. Mean hospital stay was 6 days. Complications occurred in 10 patients. Mortality rate was 2%. Excess body weight loss was as follows: 33 ± 8% at 3 months (n=92), 47 ± 2% at 6 months (n=82), 62 ± 4% at 1 year (n= 70), 66 ± 5% at 18 months (n= 63) and 67 ± 8% at 2 years (n= 35). There was significant improvement in several co-morbid conditions, such as diabetes and hypertension. Conclusion: LRYGBP is a reproducible technique. It requires the combination of bariatric and laparoscopic expertise. |
| Databáze: | OpenAIRE |
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