[Perioperative risk among morbid obese patients subjected to gastric bypass].
نویسندگان
چکیده
BACKGROUND Bariatric surgery is a complex procedure not exempt of complications. AIM To assess mortality and complications of excisional gastric bypass among morbidly obese subjects. MATERIAL AND METHODS Prospective analysis of 684 morbid obese patients (age range 14-70 years, 525 females) subjected to an excisional gastric bypass. Major postoperative complications and mortality were registered. RESULTS Mean body mass index (BMI) of the subjects was 43.7 kg/m2. One hundred sixty two patients had a BMI between 35 and 39.9 kg/m2, 419 had a BMI between 40 and 49.9 kg/m2 and 103 had a BMI over 50 kg/m2. Two patients with a BMI of 52 and 56 kg/m2 respectively, died in the postoperative period (0.3%). Thirty six patients had major complications. Anastomotic fistula was the most common complication in 12 patients (1.7%). Fourteen patients required a new operation due to complications. None of these died. The mean operative volume of the surgical team was 124 patients per year. CONCLUSIONS Excisional gastric bypass has a low rate of mortality and complications, if the surgical team operates a large volume of patients.
منابع مشابه
[Effects of gastric bypass on erosive esophagitis in obese subjects].
BACKGROUND Obesity is an important risk for pathological gastroesophageal reflux. AIM To assess the effects of gastric bypass on obese subjects with erosive esophagitis. PATIENTS AND METHODS Sixty two morbid obese subjects (aged 16 to 70 years, 41 females) with erosive esophagitis at the moment of surgery were studied. These patients were subjected to a gastric bypass with gastric resection...
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Bariatric surgery has evolved as an effective and relatively safe treatment for morbid obesity. With nearly every region of the body as a potential operative site and an unprecedented number of surgical procedures available, we must give attention to thoughtful perioperative management. Bariatric surgery is a life-changing event for the morbidly obese patient, and the body contouring that follo...
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Previous bariatric surgery increases postoperative morbidity after sleeve gastrectomy for morbid obesity.
OBJECTIVES Sleeve gastrectomy (SG) has been used as the first step of a staged malabsorptive procedure for high-risk patients. More recently SG was proposed as an stand alone procedure in the treatment of morbidly obese patients. The aim of this study is to analyze perioperative outcome of morbid obese patients after SG. METHODS 301 patients, 201 women and 100 men, undergoing SG were retrospe...
متن کاملRobotic Roux-en-y Gastric Bypass: Operative Results in 100 Patients
BACKGROUND Laparoscopic gastric bypass is gold-standard for morbid obesity treatment. AIM To describe the results of robotic gastric bypass for morbid obesity patients. METHOD Were operated on 100 morbidly obese patients through totally robotic gastric bypass between 2013 and 2014. They were 83% female. The age ranged from 20 to 65 years old (medium 48,5 years); the body mass index varied b...
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عنوان ژورنال:
- Revista medica de Chile
دوره 134 7 شماره
صفحات -
تاریخ انتشار 2006