Laparoscopic Roux-en-Y Gastric Bypass is Safe and Effective in Patients with a BMI ≥60
作者： Daniel T. Farkas , Prathiba Vemulapalli , Ali Haider , James M. Lopes , Karen E. Gibbs
关键词: Complication 、 University hospital 、 Weight loss 、 Gastric bypass 、 Surgery 、 Perioperative 、 Body mass index 、 In patient 、 Roux-en-Y anastomosis 、 Medicine
摘要: 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) &ge60 kg/m2(super-super-obese). The goal of this study was determine safety effectiveness LRYGBP these compare results patients BMI <60. Methods: 213 consecutive undergoing by single surgeon at university hospital were included study. divided into 2 groups: <60 kg/m2(n=167) ≥60 kg/m2 (n=46). groups compared regard perioperative complications, postoperative weight loss. Results: Both had statistically similar complication rates. major complications 8 (5%) lower group 3 (7%) higher group. minor 9 4 (9%) Mean percent excess loss (%EWL) 64% 1 year 53% Conclusion: can performed safely effectively super-super-obese (BMI ≥60). Although have less %EWL than lighter they still end up good result. Therefore, should considered surgical option even for ≥60.
springer.com
elsevier.com
sci-hub.se 参考文章(37)
Thomas J. Blommers, Edward E. Mason, David H. Scott, James W. Maher, Cornelius Doherty, Evelyn M. Rodriguez, Super obesity and gastric reduction procedures. Gastroenterology Clinics of North America. ,vol. 16, pp. 495- 502 ,(1987) , 10.1016/S0889-8553(21)00312-5
R B Reinhold, Critical analysis of long term weight loss following gastric bypass Surgery gynecology & obstetrics. ,vol. 155, pp. 385- 394 ,(1982)
MacLean Ld, Forse Ra, Rhode Bm, Late results of vertical banded gastroplasty for morbid and super obesity. Surgery. ,vol. 107, pp. 20- 27 ,(1990)
J. P. Regan, W. B. Inabnet, M. Gagner, A. Pomp, Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obesity Surgery. ,vol. 13, pp. 861- 864 ,(2003) , 10.1381/096089203322618669
Philip R. Schauer, Sayeed Ikramuddin, William Gourash, Ramesh Ramanathan, James Luketich, Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity Annals of Surgery. ,vol. 232, pp. 515- 529 ,(2000) , 10.1097/00000658-200010000-00007
L. Angrisani, F. Furbetta, S. B. Doldi, N. Basso, M. Lucchese, M. Giacomelli, M. Zappa, L. Di Cosmo, A. Veneziani, G. U. Turicchia, M. Alkilani, P. Forestieri, G. Lesti, F. Puglisi, M. Toppino, F. Campanile, F. D. Capizzi, C. D'Atri, L. Scipioni, C. Giardiello, N. Di Lorenzo, S. Lacitignola, M. Belvederesi, B. Marzano, P. Bernante, A. Iuppa, V. Borrelli, M. Lorenzo, Results of the Italian multicenter study on 239 super-obese patients treated by adjustable gastric banding Obesity Surgery. ,vol. 12, pp. 846- 850 ,(2002) , 10.1381/096089202320995682
Kelvin D. Higa, Tienchin Ho, Keith B. Boone, Laparoscopic Roux-en-Y gastric bypass: technique and 3-year follow-up. Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 11, pp. 377- 382 ,(2001) , 10.1089/10926420152761905
Eric J. DeMaria, Harvey J. Sugerman, Jill G. Meador, James M. Doty, John M. Kellum, Luke Wolfe, Richard A. Szucs, Mary Ann Turner, High Failure Rate After Laparoscopic Adjustable Silicone Gastric Banding for Treatment of Morbid Obesity Annals of Surgery. ,vol. 233, pp. 809- 818 ,(2001) , 10.1097/00000658-200106000-00011
Horacio E. Oria, Melodie K. Moorehead, Bariatric Analysis and Reporting Outcome System (BAROS) Obesity Surgery. ,vol. 8, pp. 487- 499 ,(1998) , 10.1381/096089298765554043
Mark Bloomston, Emmanuel E. Zervos, Mario A. Camps, Sarah E. Goode, Alexander S. Rosemurgy, Outcome following bariatric surgery in super versus morbidly obese patients: does weight matter? Obesity Surgery. ,vol. 7, pp. 414- 419 ,(1997) , 10.1381/096089297765555395