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ISSN 1665-2576 (Print)

2002, Number 3

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Rev Mex Cir Endoscop 2002; 3 (3)

Laparoscopic Roux-en-Y gastric bypass for the treatment of morbid obesity

Vitor CR, Pinheiro FJC, Schiavon CA, Lopes CJL, Schauer PR

Language: Spanish
References: 27
Page: 97-100
PDF size: 30.40 Kb.


ABSTRACT

Obesity is an endemic disease. It was already proven that the clinical approach to morbid obesity fails in 95% of cases. Laparoscopy has shown that is related to a milder metabolic response and a smoother post operative period. From August 1999 to September 2001, 316 consecutive patients were submitted to a laparoscopic Roux-en-Y gastric bypass, with a mean Body Mass Index (BMI) of 45. The average complications rate was low, with 4 gastrojejunal fistulas that were all managed clinically. The length of hospital stay was around 36 hours. Our last 196 cases were all performed through an antecolic antegastric approach, which has shown lately to be a swifter procedure with the same results mainly regarding complications rate, after 24 months the excess weight loss was around 85% and most of co morbidities were cured. There is no doubt that the LRYGB is not the future for the surgical treatment of morbid obesity, but the best present approach and equally excellent results when compared to the traditional open operation.


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