Titre du document / Document title
Short-term results of Laparoscopic gastric bypass in patients with BMI ≥60
Auteur(s) / Author(s)OLIAK David
BALLANTYNE Garth H.
DAVIES Richard J.
SCHMIDT Hans J.
Résumé / Abstract
Background: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. Little information is available about the subgroup of patients with BMI ≥60. The goal of this study was to evaluate the feasibility and safety of LRYGBP for patients with BMI ≥60. Methods: The study consisted of the first 300 attempted LRYGBPs performed by one surgeon (HJS). This population was analyzed as 2 groups of patients: those with BMI <60 and those with BMI >60. Outcome variables included mortality, complications, conversion, and operative time. Results: Of the first 300 LRYGBP patients, 261 had BMI <60 and 39 had BMI ≥60. Age, comorbidity rate, and gender distribution were similar in both BMI groups. Conversion rates were <3% in both groups. Mean operative time for the BMI ≥60 group was 156 minutes vs 139 minutes in the lighter group (P=0.04). Major complications occurred more commonly in the BMI ≥60 group (10% vs 6%) but this difference was not significant. The types of complications differed between the 2 groups, with infectious complications and gastrointestinal leak occurring more frequently in the heavier group. The mortality rate was higher in the heavier group (5% vs 0.4%, P=0.055). Conclusion: LRYGBP is feasible for patients with BMI ≥60. Our data suggest that these patients are at a higher risk for GI leak, postoperative infection, and death.
Revue / Journal TitleObesity surgery
Source / Source
2002, vol. 12, no
5, pp. 643-647 [5 page(s) (article)]
Langue / Language
Editeur / Publisher
Springer, New York, NY, ETATS-UNIS
Localisation / Location
INIST-CNRS, Cote INIST : 27034, 35400010544402.0050
Nº notice refdoc (ud4) : 14012909