Abstract | BACKGROUND: METHODS: Office records of 61 patients with body mass index (BMI) of 70 and higher were reviewed. All underwent non-transectional open gastric bypass with a 150 cm Roux limb. Data included age, sex, weight, BMI, co-morbidities, operative information, length of stay (LOS), surgical morbidity, and percent excess weight loss (%XSWL). Data are in median (range). RESULTS: There were 21 (34%) men and 40 (66%) women: age, 37 years (19-53); pre-operative weight, 468 lb (300-650); and pre-operative BMI, 77 (70-95). Co-morbidities were diabetes mellitus, 26 (46%); hypertension, 26 (43%); sleep apnea, 61 (100%); gastroesophageal reflux disease, 20 (33%); and hypothyroid nine (15%). Incision length was 15 cm (12-20), abdominal wall fat thickness was 8 cm (5-13), operative time was 150 min (100-210), and estimated blood loss was 100 ml (25-750); post-op intensive care unit: yes 16 (26%) and no 44 (74%). LOS was 3 days for 44 patients (74%), 4 days for 11 (18%), 5 days for five (8%), and 7 days for one (1.6%). Post-operative morbidity was as follows: zero mortality, splenectomy, stoma leak, deep venous thrombosis, pulmonary embolus, GI bleeding, stomal ulcer, intestinal obstruction, fascial dehiscence, or 30-day readmission; wound infections in one (1.6%); skin wound separation in six (10%); pneumonia in one (1.6%); anemia in nine (14.8%); vitamin B(12) deficiency in six (10%); incisional hernia in 17 (28%); and gastric staple line disruption in two (3.3%). %XSWL were 51% in 1 year (28-84) and 60% in 2 years (27-97). CONCLUSIONS: Non-transectional open gastric bypass for patients with BMI of 70 and higher is safe and effective as a one-stage operation for severe obesity.
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Authors | Gus J Slotman |
Journal | Obesity surgery
(Obes Surg)
Vol. 20
Issue 1
Pg. 7-12
(Jan 2010)
ISSN: 1708-0428 [Electronic] United States |
PMID | 19826887
(Publication Type: Journal Article)
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Topics |
- Adult
- Body Mass Index
- Comorbidity
- Female
- Gastric Bypass
(adverse effects, methods)
- Gastroesophageal Reflux
(epidemiology)
- Humans
- Hypertension
(epidemiology)
- Hypothyroidism
(epidemiology)
- Length of Stay
- Male
- Middle Aged
- Obesity, Morbid
(epidemiology, surgery)
- Postoperative Complications
(epidemiology)
- Sleep Apnea Syndromes
(epidemiology)
- Venous Thromboembolism
(prevention & control)
- Young Adult
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