Perioperative Outcomes of Proximal and Distal Gastric Bypass in Patients with BMI Ranged 50-60 kg/m(2)--A Double-Blind, Randomized Controlled Trial

Obesity Surgery
Marius SvanevikRune Sandbu

Abstract

Proximal Roux-en-Y gastric bypass may not ensure adequate weight loss in superobese patients. Bypassing a longer segment of the small bowel may increase weight loss. The objective of the study was to compare the perioperative outcomes of laparoscopic proximal and distal gastric bypass in a double-blind randomized controlled trial of superobese patients. The study was conducted at two public tertiary care obesity centers in Norway. Patients with body mass index (BMI) 50-60 kg/m(2) were randomly assigned to a proximal (150 cm alimentary limb) or a distal (150 cm common channel) gastric bypass. The biliopancreatic limb was 50 cm in both operations. Patients and follow-up personnel were blinded to the type of procedure. Thirty-day outcomes including complications are reported. We operated on 115 patients, of whom two were excluded at surgery, leaving 56 and 57 patients in the proximal group and distal group, respectively. The median (range) operating time was 72 (36-151) and 101 (59-227) min, respectively (p < 0.001). Two distal procedures were converted to laparotomy during the primary procedure. Median length of hospital stay was 2 (1-4) days in the proximal group and 2 (1-24) days in the distal group. The number of patients with...Continue Reading

Associated Clinical Trials

References

Apr 1, 1992·Annals of Surgery·R E BrolinR P Cody
Jun 1, 1996·Surgical Endoscopy·H LönrothL Lundell
Aug 1, 1997·Obesity Surgery·J B FreemanC Phoenix
Dec 3, 1998·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·H J SugermanE J DeMaria
May 7, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Robert E BrolinRonald P Cody
Oct 25, 2006·Annals of Surgery·Nicolas V ChristouLloyd D Maclean
Dec 8, 2007·Obesity Surgery·Ruxandra CiovicaGuilherme M Campos
Dec 11, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Atul K MadanDavid S Tichansky
Jun 10, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jose S PinheiroRicardo Cohen
Oct 11, 2008·The British Journal of Surgery·M K MüllerM Weber
Jul 30, 2009·Annals of Surgery·Steven M StrasbergWilliam G Hawkins
Aug 4, 2010·Obesity Surgery·Dimitrios StefanidisKeith S Gersin
Dec 15, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·John M KellumHarvey J Sugerman
Dec 12, 2012·Obesity Surgery·David ThivelBlandine Laferrère
Jan 23, 2013·Obesity Surgery·Henry Buchwald, Danette M Oien
Oct 11, 2013·The New England Journal of Medicine·John D BirkmeyerUNKNOWN Michigan Bariatric Surgery Collaborative
Dec 21, 2013·Diabetes Care·UNKNOWN American Diabetes Association

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Citations

Jan 11, 2016·Obesity Surgery·Kamal K MahawarPeter K Small
Mar 9, 2017·Journal of General Internal Medicine·Kim PetersonKatherine Erickson

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Methods Mentioned

BETA
gastric bypass

Clinical Trials Mentioned

NCT00821197

Software Mentioned

CONSORT
SPSS

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