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Laparoscopic Roux-en-Y gastric bypass in the "megaobese".
Arch Surg. 2003 Jul; 138(7):707-9; discussion 710.AS

Abstract

HYPOTHESIS

Laparoscopic Roux-en-Y gastric bypass is a safe and effective procedure in patients with a body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) of 70 or greater.

DESIGN

A retrospective analysis of patients with a BMI of 70 or greater who underwent laparoscopic Roux-en-Y gastric bypass by a single surgeon.

SETTING

A university-affiliated community hospital in Allentown, Pa.

PATIENTS

A nonconsecutive series of 9 patients with a BMI of 70 or greater who met traditional criteria for a bariatric procedure.

INTERVENTION

Laparoscopic approach to Roux-en-Y gastric bypass with stapled anastomoses.

RESULTS

Patient medical records were reviewed for length of stay, complications, operative time, comorbidities, and weight loss. Seven patients were women and 2 were men. Comorbidities included dyspnea on exertion, peripheral edema, arthritis, sleep apnea, hypertension, diabetes mellitus, asthma, hypothyroidism, gastroesophageal reflux disease, peptic ulcer disease, and heart disease. Eight of 9 procedures were successfully completed laparoscopically. One patient was converted to an open procedure. One patient developed a marginal ulcer postoperatively. No other complications occurred. Operative time ranged from 122 to 330 minutes (mean, 203 minutes). Length of stay averaged 1.2 days. Overall weight loss was 49% of excess body weight at 1 year after surgery.

CONCLUSION

Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI of 70 or greater.

Authors+Show Affiliations

Department of Surgery, Lehigh Valley Hospital, Allentown, PA, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12860749

Citation

Kreitz, Keith, and Peter F. Rovito. "Laparoscopic Roux-en-Y Gastric Bypass in the "megaobese"." Archives of Surgery (Chicago, Ill. : 1960), vol. 138, no. 7, 2003, pp. 707-9; discussion 710.
Kreitz K, Rovito PF. Laparoscopic Roux-en-Y gastric bypass in the "megaobese". Arch Surg. 2003;138(7):707-9; discussion 710.
Kreitz, K., & Rovito, P. F. (2003). Laparoscopic Roux-en-Y gastric bypass in the "megaobese". Archives of Surgery (Chicago, Ill. : 1960), 138(7), 707-9; discussion 710.
Kreitz K, Rovito PF. Laparoscopic Roux-en-Y Gastric Bypass in the "megaobese". Arch Surg. 2003;138(7):707-9; discussion 710. PubMed PMID: 12860749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic Roux-en-Y gastric bypass in the "megaobese". AU - Kreitz,Keith, AU - Rovito,Peter F, PY - 2003/7/16/pubmed PY - 2003/8/7/medline PY - 2003/7/16/entrez SP - 707-9; discussion 710 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 138 IS - 7 N2 - HYPOTHESIS: Laparoscopic Roux-en-Y gastric bypass is a safe and effective procedure in patients with a body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) of 70 or greater. DESIGN: A retrospective analysis of patients with a BMI of 70 or greater who underwent laparoscopic Roux-en-Y gastric bypass by a single surgeon. SETTING: A university-affiliated community hospital in Allentown, Pa. PATIENTS: A nonconsecutive series of 9 patients with a BMI of 70 or greater who met traditional criteria for a bariatric procedure. INTERVENTION: Laparoscopic approach to Roux-en-Y gastric bypass with stapled anastomoses. RESULTS: Patient medical records were reviewed for length of stay, complications, operative time, comorbidities, and weight loss. Seven patients were women and 2 were men. Comorbidities included dyspnea on exertion, peripheral edema, arthritis, sleep apnea, hypertension, diabetes mellitus, asthma, hypothyroidism, gastroesophageal reflux disease, peptic ulcer disease, and heart disease. Eight of 9 procedures were successfully completed laparoscopically. One patient was converted to an open procedure. One patient developed a marginal ulcer postoperatively. No other complications occurred. Operative time ranged from 122 to 330 minutes (mean, 203 minutes). Length of stay averaged 1.2 days. Overall weight loss was 49% of excess body weight at 1 year after surgery. CONCLUSION: Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI of 70 or greater. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/12860749/Laparoscopic_Roux_en_Y_gastric_bypass_in_the_"megaobese"_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/138/pg/707 DB - PRIME DP - Unbound Medicine ER -