Abstract | BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. There is little data on the outcomes in massively super-obese patients, with a body mass index (BMI) > or =60 kg/m2 (super-super-obese). The goal of this study was to determine the safety and effectiveness of LRYGBP in these patients, and compare these results to patients with a BMI <60. METHODS: 213 consecutive patients undergoing LRYGBP by a single surgeon at a university hospital were included in the study. The patients were divided into 2 groups: BMI <60 kg/m2 (n=167) and BMI > or =60 kg/m2 (n=46). The 2 groups were compared with regard to perioperative complications, and postoperative weight loss. RESULTS: Both groups had statistically similar complication rates. There were major complications in 8 patients (5%) in the lower BMI group and in 3 patients (7%) in the higher BMI group. There were minor complications in 9 patients (5%) in the lower BMI group and in 4 patients (9%) in the higher BMI group. Mean percent excess weight loss (%EWL) was 64% at 1 year in the BMI <60 group and 53% in the BMI > or =60 group. CONCLUSION: LRYGBP can be performed safely and effectively in super-super-obese patients (BMI > or =60). Although these patients have less %EWL than lighter patients, they still end up with a good result. Therefore, LRYGBP should be considered a good surgical option even for patients with a BMI > or =60.
|
Authors | Daniel T Farkas, Prathiba Vemulapalli, Ali Haider, James M Lopes, Karen E Gibbs, Julio A Teixeira |
Journal | Obesity surgery
(Obes Surg)
Vol. 15
Issue 4
Pg. 486-93
(Apr 2005)
ISSN: 0960-8923 [Print] United States |
PMID | 15946426
(Publication Type: Comparative Study, Journal Article)
|
Topics |
- Adult
- Aged
- Anastomosis, Roux-en-Y
- Body Mass Index
- Cohort Studies
- Female
- Follow-Up Studies
- Gastric Bypass
(adverse effects, methods)
- Humans
- Laparoscopy
(methods)
- Male
- Middle Aged
- Obesity, Morbid
(diagnosis, mortality, surgery)
- Postoperative Complications
- Probability
- Prospective Studies
- Severity of Illness Index
- Treatment Outcome
- Weight Loss
|