Bariatric Surgery information
Laparoscopic Roux-en-Y Gastric Bypass: Technically Difficult But Effective

Review of LRYGB for the Treatment of Severe Obesity

Bariatric Surgery - Bariatric Research Studies

Outcome analysis of laparoscopic Roux-en-Y gastric bypass for morbid obesity. The first 116 cases

Morbid obesity has been described as a continuing epidemic affecting a growing portion of our population. We report an outcome analysis of our early experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) in the treatment of morbid obesity.

Method

Two surgeons performed 116 consecutive laparoscopic Roux-en-Y gastric bypass operations at a single institution, creating a 25-ml pouch and a 90- to 150-cm Roux limb. The prospectively collected data included patient demographics, comorbidities, postoperative weight loss, and complications.

Results

All eight conversions to an open procedure occurred early during the experience of the surgeons. The mean operating room time for the first 50 cases was 272 min, which decreased to 198 min with experience. The mean length of hospital stay was 3 days. There were 34 complications in 27 patients (23.3%), 14 of which (12%) required reoperation. At 18 months postoperatively, the patients had lost 77% of their excess weight, and their body mass index had decreased from a mean of 49.3 to 32.6 kg/m2. As a result of laparoscopic Roux-en-Y gastric bypass, 25% of the patients were rendered completely free of any pharmacologic treatment for their preexisting comorbidities.

Conclusion

Although technically challenging, laparoscopic Roux-en-Y gastric bypass can be performed safely with excellent long-term results. The mean operating room time and conversion rate improved with experience. As this study showed, laparoscopic Roux-en-Y gastric bypass procedures achieve an excellent rate of weight loss and improvement in preoperative comorbidities with a minimal length of hospital stay and an acceptable complication rate.

Source:
Papasavas PK, Hayetian FD, Caushaj PF, Landreneau RJ, Maurer J, Keenan RJ, Quinlin RF, Gagne DJ. Minimally Invasive Surgery, West Penn Allegheny Health System, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. 2002

Bariatric Surgery
Adjustable Gastric Banding UK - After Lap-Band Surgery - Band Repositioning Slippage - Long Term Effects Gastric Banding - BAROS) Laparoscopic Gastric Banding - Lap-Band Weight Loss Surgery Effects - Esophagogastric Banding - Gastric Banding Grade 3 Obesity - Gastric Banding Older Obese Patients - Laparoscopic Adjustable Gastric Banding UK - Gastroplasty Conversion - Homocysteine Levels Folate B12 - Laparoscopic Adjustable Gastric Banding Morbid Obesity - Laparoscopic Adjustable Band - Laparoscopic Gastric Banding Side Effects - Laparoscopic Banding Surgical Technique - Laparoscopic Lap-Band Outcomes - Laparoscopic Gastric Lap-Band Trial - Laparoscopic Silicone Gastric Banding Operation - Radiological Imaging After Banding - Revision of Failed Gastric Bariatric Operations - Silicone Gastric Banding Failure Rate - Visceral Subcutaneous Fat - Dietary Changes After Gastroplasty - Duodenal Switch Dyslipoproteinemia - Gastroplasty Eating Behavior - Gastrointestinal Quality of Life - Hand Assisted Laparoscope VGB - Laparoscopic Gastroplasty - Laparoscopic Stapling - Vertical Banded Gastroplasty Results - Mason-MacLean Gastroplasty - Non-Adjustable Silicone Ring - Open Versus Laparoscopic Gastroplasty - Patient Compliance Gastroplasty - Peptide YY After Gastroplasty - Personality Profiles Obese Patients - Pre-Operative Resting Weight Loss - Weight Loss After Gastroplasty - Back Pain After Gastroplasty - Bariatric Follow-up Outcomes - Binge Eating Disorder Bariatrics - Bone Mass After Gastric Bypass - Bone Metabolism Gastroplasty - Gastric Bypass Venous Stasis - Gastric Surgery Insulin Effects - Weight Loss Surgery Sleep Apnea - Weight Loss Surgery Free Radical Antioxidants - Gastroplasty Diabetes Dyslipidemia - Insulin Tolerance in Bariatric Surgery Patients - Laparoscopic Gastroplasty Study - Nutritional Complications Gastric Bypass - Obesity-Associated Disorders - Orthostatic Hypotension - Gastric Bypass Health Improvements - Predictors of Complication after Roux-en-Y Bypass - Pseudo-Achalasia Gastric Banding - Gastric Acid Secretion Reduction in Bariatric Surgery - Roux-en-Y Gastric Bypass Evaluation - Predicting Success After Roux-en-Y - Psychiatric Diagnosis Gastric Surgery - Psychopathological Status After Weight Loss - Psychosocial Factors Weight Loss After Bariatric Surgery - Quality of Life After Weight Loss Surgery - Socio-economic Characteristics Obesity Surgery - Large Volume Liposuction Effects - Weight Loss Surgery Reoperations - Laparoscopic Reoperative Surgery - Weight Loss After Gastric Surgery - Pregnancy after Gastric Banding - Pregnancy after Lap-Band Surgery - Weight Loss Co-Morbid Conditions - Weight Loss After Bariatric Surgery

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