Laparoscopic Roux-en-Y gastric bypass surgery: initial results of 120 consecutive patients at a single British Columbia surgical center - 22/08/11
, Conrad H. Rusnak, M.D. b, Bradley J. Amson, M.D. b
Corresponding author. Tel.: +1-604-875-4480; fax: +1-604-875-4797.Abstract |
Background |
The prevalence of obesity in Canada is increasing, therefore, it has become imminently important to treat these patients in a timely manner.
Methods |
A total of 120 consecutive patients who underwent a laparoscopic Roux-en-Y gastric bypass procedure (2004 to 2006), with a mean postoperative follow-up period of 19 months, were divided into 2 chronologic groups and analyzed retrospectively.
Results |
The overall postoperative excess weight loss was 78.1% (SD, 14.3%) from the time of inclusion into the study preoperatively (average wait time, 21 mo) to 12 months postoperatively. No preoperative weight loss was recorded. A surgeon-dependent learning curve was shown with a decrease in surgical time as well as surgery-related complications. Obesity-associated comorbidities decreased whereas quality of life increased.
Conclusions |
Despite a structured multidisciplinary approach to alter lifestyle and daily caloric intake preoperatively, only laparoscopic Roux-en-Y gastric bypass showed effective weight loss and reduced associated comorbidities.
Le texte complet de cet article est disponible en PDF.Keywords : Laparoscopic Roux-en-Y gastric bypass, Bariatric surgery, Obesity, Surgical learning curve, Surgical wait time
Plan
Vol 195 - N° 5
P. 565-569 - mai 2008 Retour au numéro
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