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ISSN 1665-2576 (Print)

2008, Number 4

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Rev Mex Cir Endoscop 2008; 9 (4)

Results at long-term of the laparoscopic gastric bypass

Zorrilla BPG, Núñez JN, Tristán PAF

Language: Spanish
References: 26
Page: 151-157
PDF size: 205.88 Kb.


ABSTRACT

Background: In the past decade, the laparoscopic Roux-en-Y gastric bypass has become the most surgical method used worldwide for the definitive treatment of severe obesity. In Mexico, the second country with obese population in the world, the trend is the same. Methods: A retrospective study of 903 patients who underwent laparoscopic Roux-en-Y Gastric bypass surgery between February 2002 to September 2008. 639 women and 264 men with average BMI of 42.73 Kg/m² met the criteria for inclusion. The variables were analyzed: surgical time and hospital stay, complications trans and postoperative, and percentage of excess weight loss in the first year after surgery. We separated the patients into groups of 100 to evaluated the relationship experience of the surgeon/complications. Results: The average surgical time was 135 minutes; the hospital stay of 2.85 days; 13 patients had intraoperative complications and 8 had to be converted to the open surgery. Fifty patients experienced postoperative complications; the most frequent were: small bowel obstruction (2.8%), bleeding (1.4%), and anastomotic leakage (0.6%). The first 100 patients were found to have the highest percentage of complications. Conclusion: The laparoscopic Roux-en-Y gastric bypass surgery performed by experienced surgeons is the method with less morbidity and mortality and good long-term results.


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