Bariatric Surgery Information
Outcomes of Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP)

Results of Laparoscope-Assisted Bypass Procedure

Guide to Weight Loss Surgery - Research Into Gastric Reduction Surgery

Outcomes of Laparoscopic Roux-en-Y Gastric Bypass Operations (LRYGBP)

Laparoscopic Roux-en-Y gastric bypass is a technically demanding procedure with a steep learning curve. Experienced laparoscopic surgeons and bariatric surgeons can learn from the outcomes and complications of their initial experience in LRYGBP.

Methods

Between August of 2002 and July of 2003, we performed our first 100 laparoscopic Roux-en-Y bypasses. Our surgical technique involves the ante-colic, ante-gastric placement of the Roux-limb. A 21-mm circular stapler is used to create the gastrojejunostomy. The stapler anvil is placed transgastrically.

Results

The mean preoperative BMI was 49.7 kg/m(2) (range 37-70). 12% of patients were male. Early complications (14%) included 3 leaks, 4 bleeding episodes and 2 gastrogastric fistulas. There was 1 peri-operative mortality and 1 conversion to laparotomy. Late complications (17%) included stenosis of the gastrojejunostomy which occurred in 14 patients. Leaks occurred more commonly in males. Elevated BMI was also found to be a risk factor for leak. Stenosis was often associated with other complications such as leak or marginal ulcer. Stenosis responded well to endoscopic dilation. Co-morbid medical conditions responded to weight loss in all patients, regardless of initial BMI. Mean excess weight loss was 69% at 1 year, but varied according to preoperative BMI.

Conclusion

Careful recording of patient outcomes and complications is important, particularly in a new minimally invasive bariatric surgery program. Review and analysis of specific complications may help to minimize the occurrence of similar subsequent complications.

Authors:
Gould JC, Garren MJ, Starling JR. University of Wisconsin Medical School, Department of Surgery, Madison, WI, USA.

Source:
National Library of Medicine

Bariatric Surgery

Asymptomatic Liver Disease Gastric Bypass - Gastric Bypass Surgery Bone Mass - Bypass Surgery Cures Diabetes - Calorie Intake Roux-en-Y Gastric Bypass Surgery - Duodenal Switch Bypass - Eating Disorders After Bypass - How Effective is Gastric Bypass - Gastric Bypass Revision - Roux-en-Y Gastric Bypass Issues - Risks of Gastric Bypass - Predictors Complications Gastric Bypass - Vertical Banded Operation Decline - Silastic Ring Vertical Banded Gastroplasty - Hyperhomocysteinemia Gastroplasty - Nerve Damage Stomach Stapling - Laparoscopic Adjustable Gastric Banding Quality Life - Long-Term Results Gastric Banding - Topiramate Gastric Banding - Pouch Dilatation Gastric Banding - New Techniques Bariatric Surgery - Newer Bariatric Surgical Techniques - Extreme Obesity Gastric Bypass - Laparoscopic Gastric Banding Day Surgery - Laparoscopy Gastric Banding Problems - Laparoscopic Distal Gastric Preservation - Laparoscopic Gastrectomy - Laparoscopic Gastric Banding - Laparoscopic Gastric Banding Older Patients - Laparoscopic Mini Gastric Bypass - Laparoscopic Roux-en-Y Gastric Outcomes - Laparoscopic Roux-En-Y Safety - Laparoscopic Weight Loss Surgery - Complications Laparoscopic Surgery - Ketorolac Anaesthesia Bariatric Surgery - Health Improvements Bariatric Surgery - Complications Weight Loss Surgery - Benefits Bariatric Surgery - Benefits Weight Loss Surgery - Bypass Surgery Diabetes - Gastric Banding Cardiovascular - Effects Bypass Surgery Diabetes - Endoscopic Intraluminal Sutures - Infections Abdominal Surgery - Endothelial Function Inflammation - Macrophage Inhibitory Factor Levels - Bariatric Surgery Musculoskeletal Complaints - Obesity Surgery Metabolic Syndrome - Bariatric Surgery Metabolic Syndrome - Pre-Operative Bacterial Treatment - Helicobacter Pylori Weight Loss Surgery - Vertical Banded Gastroplasty Roux-en-Y - Nutrient Deficiencies Bariatric Surgery - Folate Deficiency Gastric Bypass Surgery - Iron Deficiency Gastric Bypass - Vitamin B12 Gastric Bypass Surgery - Nutritional Status Vertical Banded Gastroplasty - Nutritional Consequences Gastric Restrictive Surgery - International Bariatric Surgery Registry - Attitudes Bariatric Surgeons - Cost-Effectiveness Gastric Bypass - Weight Loss Surgery UK - Weight Loss Surgery Wisconsin - Medicare Weight Loss Surgery - Childbearing Weight Loss Surgery - Bariatric Surgery Severely Overweight Adolescents - Bariatric Surgery Older Patients - Bariatric Surgery Mortality - Weight Loss Surgery Effects - Office-Based Surgery - Gastric Banding Ghrelint - Ghrelin Levels Gastric Bypass - Roux-en-Y Gastric Bypass Ghrelin - Group Therapy Gastric Bypass - Obesity Surgery Weight Reduction - Bariatric Surgery Adolescents - Peripheral Neuropathy Bariatric Surgery - Personality Weight Loss Surgery - Pre-Surgery Bariatric Surgery - Pre-Operative Intragastric Balloon - Pre-Operative Psychological Testing Bariatric Operation - Psychosocial Variables Weight Loss Surgery - Radiological Gastroenteric Studies - Regulation Obesity Surgery - Tummy Tuck Men - Body Contouring Surgeries After Weight Loss - Total Body Lift Weight Loss - Apronectomy Liposuction Metabolism - Brachioplasty Arm - Panniculectomy Obesity Surgery - Panniculectomy Results - Large Volume Liposuction - Large Volume Ultrasound Liposuction - Lipoplasty Abdominoplasty - Liposuction Surgery Visceral Fat - Liposuction Diabetes Prevention - Is Liposuction Safe - Articaine Hydrochloride Liposuction - Tumescent Liposuction - Ultrasound-Assisted Liposuction - Circumferential Para-Axillary Superficial Tumescent (CAST) Lipoplasty

BARIATRIC & GASTRIC SURGERY INFORMATION

What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty


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. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources