Document Detail

Extremely high body mass index is not a contraindication to laparoscopic gastric bypass.
MedLine Citation:
PMID:  15329968     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is an effective operation for morbidly obese patients who have failed conservative weight loss treatments. It is currently indicated for patients with BMI >40 kg/m2 or >35 with significant co-morbidities. Controversy exists whether there is an upper limit to BMI beyond which this operation should not be performed. METHODS: Between April 1999 and February 2001, 82 patients (19 male, 63 female) underwent LRYGBP. Average age was 43.6, and average BMI was 56 kg/m2. These patients were divided into those with BMI < 60 and those with BMI > or =60 kg/m2. RESULTS: There were 61 patients with BMI < 60 and 21 patients with BMI > or =60. The groups were similar in age, gender, distribution or incidence of co-morbid conditions (diabetes, coronary artery disease, hypertension, sleep apnea, asthma) between the groups. The BMI > or =60 group had a significantly longer length of stay (6.6 days vs 5.3 days, P <0.05), and only 1 patient (BMI 85) developed an anastomotic leak and died. 2 patients in this group (BMI 62 and 73) developed small bowel obstruction requiring lysis of adhesions. 1 patient in the BMI < 60 group developed a gastrojejunal stricture requiring balloon dilatation. CONCLUSION: While patients with a BMI > or =60 are at higher risk for postoperative complications, they are also at higher risk from continued extreme obesity. In our series, 85% of these patients had an uneventful postoperative course and began shedding excess weight. BMI > or =60 should not be a contraindication for LRYGBP.
Dominick Artuso; Michael Wayne; Ashutosh Kaul; Moses Bairamian; Julio Teixeira; Thomas Cerabona
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  14     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:    2004 Jun-Jul
Date Detail:
Created Date:  2004-08-26     Completed Date:  2004-10-27     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  750-4     Citation Subset:  IM    
Department of Surgery, Dobbs Ferry Community Hospital, Dobbs Ferry, NY 10522, USA.
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MeSH Terms
Body Mass Index
Gastric Bypass / adverse effects,  contraindications*,  methods
Laparoscopy / contraindications*
Middle Aged
Obesity, Morbid / surgery
Comment In:
Obes Surg. 2005 Mar;15(3):447   [PMID:  15832435 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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