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. ; WASIELEWSKI Annette ; 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 Title

Obesity surgery   ISSN 0960-8923 

Source / Source

2002, vol. 12, n^o5, pp. 643-647 [5 page(s) (article)]

Langue / Language

Anglais

Editeur / Publisher

Springer, New York, NY, ETATS-UNIS  (1991) (Revue)

Localisation / Location

INIST-CNRS, Cote INIST : 27034, 35400010544402.0050