RESULTS OF 50 CONSECUTIVE TOTAL LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASSES TO TREAT MORBID OBESITY | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 28, Issue 2, April 2009, Page 67-71 PDF (157.45 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2009.367605 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Tarik Abdel Azeez* | ||||
| Department of Surgery, El-Minia University School of Medicine, Egypt | ||||
| Abstract | ||||
| Aim: Study of laparoscopic Roux-en-Y gastric bypass for treatment of morbid obesity. Methods: Total laparoscopic Roux-en-Y gastric bypass was attempted in 50 consecutive patients. Procedures included only proximal antecolic antegastric bypasses the gastrojejunostomy and jejunojejunostomy were primarily constructed using linear stapling techniques. Results: The mean age of the patients was 34.7 years (range 21-47) and 60% were female. The mean preoperative body mass index was 53.3 kg/m2. The operative time ranged from 160 to 220 minutes (average 192.4 + 18.8). Postoperative length of stay averaged 6.6 + 5.6days (range 3–25). Three patients required conversion to an open procedure (1.5%). Complications included three (1.5%) major wound infections (each followed a reoperation for a complication or open conversion), Bleeding in one patient required reoperation while two cases of bleeding were managed conservatively, and anastomotic leak with peritonitis in 5 patients (2.5%). One case underwent endoscopic dilatation for stomal stenosis. Weight loss at one year was 62.3% of excess weight. Most co-morbid conditions resolved by 1 year after surgery. Conclusions: Laparoscopic gastric bypass demonstrates excellent weight loss and resolution of co-morbidities with a low complication rate. | ||||
| Keywords | ||||
| Department of Surgery; El-Minia University School of Medicine; Egypt | ||||
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