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Outcomes AfterLaparoscopicRoux-en-Y GastricBypass for MorbidObesity Philip R. SchauerSayeed IkramuddinWilliam Gourash2000 год

Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
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Страница публикацииПубликация в OpenAlex
Аннотация: To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months.The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic approach has significant potential to reduce perioperative complications and recovery time.Consecutive patients (n = 275) who met NIH criteria for bariatric surgery were offered laparoscopic Roux-en-Y gastric bypass between July 1997 and March 2000. A 15-mL gastric pouch and a 75-cm Roux limb (150 cm for superobese) was created using five or six trocar incisions.The conversion rate to open gastric bypass was 1%. The start of an oral diet began a mean of 1.58 days after surgery, with a median hospital stay of 2 days and return to work at 21 days. The incidence of early major and minor complications was 3.3% and 27%, respectively. One death occurred related to a pulmonary embolus (0.4%). The hernia rate was 0.7%, and wound infections requiring outpatient drainage only were uncommon (5%). Excess weight loss at 24 and 30 months was 83% and 77%, respectively. In patients with more than 1 year of follow-up, most of the comorbidities were improved or resolved, and 95% reported significant improvement in quality of life.Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications.
Год издания: 2000
Авторы: Philip R. Schauer, Sayeed Ikramuddin, William Gourash, Ramesh K. Ramanathan, James D. Luketich
Издательство: Lippincott Williams & Wilkins
Источник: Annals of Surgery
Ключевые слова: Bariatric Surgery and Outcomes, Body Contouring and Surgery, Minimally Invasive Surgical Techniques
Другие ссылки: Annals of Surgery (HTML)
PubMed Central (HTML)
PubMed (HTML)