Full Record & Graph Of A Top 20 Paper in Bariatric Surgery

#3 Paper of the Top 20 Papers in Bariatric Surgery

Title:

Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity

Authors:

Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J

Source:

ANNALS OF SURGERY 232 (4): 515-526 OCT 2000

Document Type:

Article

Language:

English

Cited References:

Times Cited:

198

Abstract:

Objective:
To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months.

Summary Background Data:
The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic approach has significant potential to reduce perioperative complications and recovery time.

Methods:
Consecutive patients (n = 275) who met NIH criteria for bariatric surgery were offered laparoscopic Roux-en-Y gastric bypass between July 1997 and March 2000. A 15-mL gastric pouch and a 75-cm Roux limb (150 cm for superobese) was created using five or six trocar incisions.

Results:
The conversion rate to open gastric bypass was 1%. The start of an oral diet began a mean of 1.58 days after surgery, with a median hospital stay of 2 days and return to work at 21 days. The incidence of early major and minor complications was 3.3% and 27%, respectively. One death occurred related to a pulmonary embolus (0.4%). The hernia rate was 0.7%, and wound infections requiring outpatient drainage only were uncommon (5%), Excess weight loss at 24 and 30 months was 83% and 77%, respectively. In patients with more than 1 year of follow-up, most of the comorbidities were improved or resolved, and 95% reported significant improvement in quality of life.

Conclusion:
Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications.

Keywords Plus:

VERTICAL BANDED GASTROPLASTY; OPEN CHOLECYSTECTOMY; SURGERY; OPERATION; COMPLICATIONS

Addresses:

Schauer PR (reprint author), Univ Pittsburgh, Dept Surg, Presbyterian Univ Hosp, C-800,200 Lothrop St, Pittsburgh, PA 15213 USA
Univ Pittsburgh, Dept Surg, Pittsburgh, PA 15213 USA
Mark Ravitch Leon Hirsch Ctr Minimally Invas Surg, Pittsburgh, PA USA

Publisher:

LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA

Subject Category:

SURGERY

IDS Number:

359GD

ISSN:

0003-4932

Graph - Number of Citations (by year):

SOURCE: Full Record - ISI Web of Science, graph - ISI Essential Science Indicators Web product; 1994-2004 (fifth bimonthly). NOTE: Because Web of Science is updated weekly, citation counts may vary slightly from Essential Science Indicators' data which is update bimonthly.


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ESI Special Topics, March 2005
Citing URL - http://www.esi-topics.com/wls/interviews/paper3.html