| Extremely high body mass index is not a contraindication to laparoscopic gastric bypass. | |
| | |
MedLine Citation:
|
PMID: 15329968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Dominick Artuso; Michael Wayne; Ashutosh Kaul; Moses Bairamian; Julio Teixeira; Thomas Cerabona |
Related Documents
:
|
22481708 - Vitamin d deficiency in patients with chronic venous ulcers. 7309328 - Truncal vagotomy in morbid obesity. 3952448 - Epidemiologic, clinicopathologic, and economic aspects of gastroscopic screening of pat... 424998 - Gastric histology and function in patients with intrathoracic stomach replacement after... 8712128 - The results of atrial flutter ablation in patients with and without a history of atrial... 12544988 - Prognostic value of surfactant proteins a and d in patients with acute lung injury. |
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 |
Affiliation:
|
Department of Surgery, Dobbs Ferry Community Hospital, Dobbs Ferry, NY 10522, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Body Mass Index Female Gastric Bypass / adverse effects, contraindications*, methods Humans Laparoscopy / contraindications* Male Middle Aged Obesity, Morbid / surgery |
| Comments/Corrections | |
Comment In:
|
Obes Surg. 2005 Mar;15(3):447
[PMID:
15832435
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Accelerating whole-cell biocatalysis by reducing outer membrane permeability barrier.
Next Document: Dental devices; dental noble metal alloys and dental base metal alloys; designation of special contr...