Extremely high body mass index is not a contraindication to laparoscopic gastric bypass

Obesity Surgery
Dominick ArtusoThomas Cerabona

Abstract

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. 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. 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. While patients with a BMI > or =6...Continue Reading

Citations

Nov 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vivek N PrachandJohn C Alverdy
Nov 21, 2008·Obesity Surgery·Fiore TorchiaAntonio J Cascardo
Feb 2, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Rena C MoonMuhammad A Jawad
Oct 9, 2013·Journal of Minimally Invasive Gynecology·Stacey A ScheibAmanda N Fader
Feb 20, 2013·Journal of Visceral Surgery·A SchwartzD Collet
Oct 22, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Giovanni DapriJacques Himpens
Sep 20, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Samrat MukherjeeKesava R Mannur
Dec 17, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Venkata R KakarlaStephen Merola
Feb 21, 2009·Journal of the American College of Surgeons·Deborah AbelesScott A Shikora
Apr 22, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Nicolas C BuchsPhilippe Morel
May 20, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·J Hunter MehaffeyBruce D Schirmer
Jul 31, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Philippe TopartPatrick Ritz
May 3, 2021·World Journal of Surgery·Shahab ShahabiKamal Mahawar

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