BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. There is little data on the outcomes in massively super-obese patients, with a body mass index (BMI) > or =60 kg/m2 (super-super-obese). The goal of this study was to determine the safety and effectiveness of LRYGBP in these patients, and compare these results to patients with a BMI <60. METHODS: 213 consecutive patients undergoing LRYGBP by a single surgeon at a university hospital were included in the study. The patients were divided into 2 groups: BMI <60 kg/m2 (n=167) and BMI > or =60 kg/m2 (n=46). The 2 groups were compared with regard to perioperative complications, and postoperative weight loss. RESULTS: Both groups had statistically similar complication rates. There were major complications in 8 patients (5%) in the lower BMI group and in 3 patients (7%) in the higher BMI group. There were minor complications in 9 patients (5%) in the lower BMI group and in 4 patients (9%) in the higher BMI group. Mean percent excess weight loss (%EWL) was 64% at 1 year in the BMI <60 group and 53% in the BMI > or =60 group. CONCLUSION: LRYGBP can be performed safely and effectively in super-super-obese patients (BMI > or =60). Although these patients have less %EWL than lighter patients, they still end up with a good result. Therefore, LRYGBP should be considered a good surgical option even for patients with a BMI > or =60.
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. There is little data on the outcomes in massively super-obesepatients, with a body mass index (BMI) > or =60 kg/m2 (super-super-obese). The goal of this study was to determine the safety and effectiveness of LRYGBP in these patients, and compare these results to patients with a BMI <60. METHODS: 213 consecutive patients undergoing LRYGBP by a single surgeon at a university hospital were included in the study. The patients were divided into 2 groups: BMI <60 kg/m2 (n=167) and BMI > or =60 kg/m2 (n=46). The 2 groups were compared with regard to perioperative complications, and postoperative weight loss. RESULTS: Both groups had statistically similar complication rates. There were major complications in 8 patients (5%) in the lower BMI group and in 3 patients (7%) in the higher BMI group. There were minor complications in 9 patients (5%) in the lower BMI group and in 4 patients (9%) in the higher BMI group. Mean percent excess weight loss (%EWL) was 64% at 1 year in the BMI <60 group and 53% in the BMI > or =60 group. CONCLUSION: LRYGBP can be performed safely and effectively in super-super-obesepatients (BMI > or =60). Although these patients have less %EWL than lighter patients, they still end up with a good result. Therefore, LRYGBP should be considered a good surgical option even for patients with a BMI > or =60.
Authors: Anna Duprée; Alexander Tarek El Gammal; Stefan Wolter; Silvana Urbanek; Nina Sauer; Oliver Mann; Philipp Busch Journal: Obes Surg Date: 2018-07 Impact factor: 4.129
Authors: Christopher N Ochner; Magdalena C E Jochner; Elizabeth A Caruso; Julio Teixeira; F Xavier Pi-Sunyer Journal: Surg Obes Relat Dis Date: 2013-01-16 Impact factor: 4.734
Authors: D Cottam; F G Qureshi; S G Mattar; S Sharma; S Holover; G Bonanomi; R Ramanathan; P Schauer Journal: Surg Endosc Date: 2006-04-22 Impact factor: 4.584
Authors: Nicolas C Buchs; François Pugin; Gilles Chassot; Francesco Volonte; Pascale Koutny-Fong; Monika E Hagen; Philippe Morel Journal: Obes Surg Date: 2013-03 Impact factor: 4.129
Authors: Thomas H Inge; Todd M Jenkins; Meg Zeller; Lawrence Dolan; Stephen R Daniels; Victor F Garcia; Mary L Brandt; Judy Bean; Kimberlee Gamm; Stavra A Xanthakos Journal: J Pediatr Date: 2010-01 Impact factor: 4.406