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Procedure-related morbidity in bariatric surgery: a retrospective short- and mid-term follow-up of a single institution of the American College of Surgeons Bariatric Surgery Centers of Excellence.
J Am Coll Surg. 2013 Oct; 217(4):614-20.JA

Abstract

BACKGROUND

Our objective was to ascertain procedure-related morbidity among laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB) patients. These are the 3 most common bariatric procedures performed worldwide. We reviewed our experience since the introduction of LSG and compared the procedure-related morbidity among all 3 procedures.

STUDY DESIGN

We conducted a retrospective review of a prospectively collected database of all morbidly obese patients who underwent bariatric surgery between the years 2005 and 2011. We identified and compared complications, mortality, readmissions, and reoperations in patients who underwent LRYGB, LAGB, and LSG.

RESULTS

A total of 2,199 bariatric procedures were performed during this period of time. Of those procedures, 1,327 were LRYGB, 619 were LSG, and 253 were LAGB. Perioperative mortality was not applicable for all 3 procedures. The leak rate was 0.5% for LRYGB and 0.3% for LSG, and was not applicable for LAGB. The average number of readmissions postoperatively was less than 2 times for all 3 procedures: LRYGB 1.96 times, LSG 1.49 times, and LAGB 1.54 times. The percentages of procedures requiring reoperations due to complications or failures were 14.6% in the LAGB group, 6.6% in the LRYGB group, and 1.8% in the LSG group.

CONCLUSIONS

In short- and mid-term follow-up, LSG appears to have the lowest procedure-related morbidity when compared with LRYGB and LAGB.

Authors+Show Affiliations

The Bariatric and Metabolic Institute and Section of Minimally Invasive Surgery, Department of General Surgery, Cleveland Clinic, Weston, FL.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23890844

Citation

Fridman, Abraham, et al. "Procedure-related Morbidity in Bariatric Surgery: a Retrospective Short- and Mid-term Follow-up of a Single Institution of the American College of Surgeons Bariatric Surgery Centers of Excellence." Journal of the American College of Surgeons, vol. 217, no. 4, 2013, pp. 614-20.
Fridman A, Moon R, Cozacov Y, et al. Procedure-related morbidity in bariatric surgery: a retrospective short- and mid-term follow-up of a single institution of the American College of Surgeons Bariatric Surgery Centers of Excellence. J Am Coll Surg. 2013;217(4):614-20.
Fridman, A., Moon, R., Cozacov, Y., Ampudia, C., Lo Menzo, E., Szomstein, S., & Rosenthal, R. J. (2013). Procedure-related morbidity in bariatric surgery: a retrospective short- and mid-term follow-up of a single institution of the American College of Surgeons Bariatric Surgery Centers of Excellence. Journal of the American College of Surgeons, 217(4), 614-20. https://doi.org/10.1016/j.jamcollsurg.2013.05.013
Fridman A, et al. Procedure-related Morbidity in Bariatric Surgery: a Retrospective Short- and Mid-term Follow-up of a Single Institution of the American College of Surgeons Bariatric Surgery Centers of Excellence. J Am Coll Surg. 2013;217(4):614-20. PubMed PMID: 23890844.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Procedure-related morbidity in bariatric surgery: a retrospective short- and mid-term follow-up of a single institution of the American College of Surgeons Bariatric Surgery Centers of Excellence. AU - Fridman,Abraham, AU - Moon,Rena, AU - Cozacov,Yaniv, AU - Ampudia,Carolina, AU - Lo Menzo,Emanuele, AU - Szomstein,Samuel, AU - Rosenthal,Raul J, Y1 - 2013/07/24/ PY - 2013/02/27/received PY - 2013/05/03/revised PY - 2013/05/03/accepted PY - 2013/7/30/entrez PY - 2013/7/31/pubmed PY - 2013/12/16/medline KW - BMI KW - LAGB KW - LRYGB KW - LSG KW - POD KW - body mass index KW - laparoscopic Roux-en-Y gastric bypass KW - laparoscopic adjustable gastric banding KW - laparoscopic sleeve gastrectomy KW - postoperative day SP - 614 EP - 20 JF - Journal of the American College of Surgeons JO - J Am Coll Surg VL - 217 IS - 4 N2 - BACKGROUND: Our objective was to ascertain procedure-related morbidity among laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB) patients. These are the 3 most common bariatric procedures performed worldwide. We reviewed our experience since the introduction of LSG and compared the procedure-related morbidity among all 3 procedures. STUDY DESIGN: We conducted a retrospective review of a prospectively collected database of all morbidly obese patients who underwent bariatric surgery between the years 2005 and 2011. We identified and compared complications, mortality, readmissions, and reoperations in patients who underwent LRYGB, LAGB, and LSG. RESULTS: A total of 2,199 bariatric procedures were performed during this period of time. Of those procedures, 1,327 were LRYGB, 619 were LSG, and 253 were LAGB. Perioperative mortality was not applicable for all 3 procedures. The leak rate was 0.5% for LRYGB and 0.3% for LSG, and was not applicable for LAGB. The average number of readmissions postoperatively was less than 2 times for all 3 procedures: LRYGB 1.96 times, LSG 1.49 times, and LAGB 1.54 times. The percentages of procedures requiring reoperations due to complications or failures were 14.6% in the LAGB group, 6.6% in the LRYGB group, and 1.8% in the LSG group. CONCLUSIONS: In short- and mid-term follow-up, LSG appears to have the lowest procedure-related morbidity when compared with LRYGB and LAGB. SN - 1879-1190 UR - https://www.unboundmedicine.com/medline/citation/23890844/Procedure_related_morbidity_in_bariatric_surgery:_a_retrospective_short__and_mid_term_follow_up_of_a_single_institution_of_the_American_College_of_Surgeons_Bariatric_Surgery_Centers_of_Excellence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1072-7515(13)00400-6 DB - PRIME DP - Unbound Medicine ER -