An institutional experience with laparoscopic gastric bypass complications seen in the first year compared with open gastric bypass complications during the same period

See, Craig; Carter, Preston L.; Elliott, David; Mullenix, Philip S.; Eggebroten, William E.; Porter, Clifford; Watts, David M.

doi:10.1016/s0002-9610(02)00829-2

Cited by 85 publications

(36 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The superobese group differentiates itself from all other cases of obesity as it presents greater frequency of higher surgical risk co-morbidities, greater technical difficulty (including the need for adequate equipment in the trans-operative period), high rates of complications/mortality, less weight loss after RYG bypass with a short jejunal loop (the alimentary loop used currently for these patients is a standard 150 cm) and a laparosocopic RYG (RYG-LAP) being technically more difficult in this population (3,11,30) . However, none of the studies cited above analyzed the prognostic factors for these complications within a specific population of superobese.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors in superobese patients submitted to conventional Fobi-Capella surgery

Martins-Filho

Câmara-Neto

Ferraz³

et al. 2008

Arq. Gastroenterol.

View full text Add to dashboard Cite

-Background -Obesity is one of the world's greatest health problems. The Roux-en-Y gastric bypass is the gold standard treatment for severe obesity. Surgery in obese patients has an acceptable level of morbidity and mortality. The superobese patient, a subcategory of severe obese patients with a high surgical risk has not yet been analyzed as a group. Methods -A retrospective and prospective cohort study was conducted enrolling 135 patients submitted to Roux-en-Y gastric bypass for treatment of severe obesity at the "Hospital das Clínicas", Federal University of Pernambuco, Recife, PE, Brazil, between November 1997 and September 2003. The independent variables were possible risk factors of adverse outcomes: age, gender, weight, body mass index, diabetes, hypertension, hypercholesterolemia, sleep apnea, cardiopathy/coronariopathy, pneumopathy or any other co-morbidity. The dependent variables were major complications, minor complications and death. Results -Diabetes (RR = 1.6 and CI = 1.02-2.40) and sleep apnea (RR = 1.8 and CI = 1.18-2.64) were associated to minor complications. Cardiopathy/coronariopathy were associated with major complications (RR = 5.42 and CI = 1.22-2.40) and death (RR = 16.25 and CI = 3.00-87.95). BMI ≥55 kg/m 2 was associated with minor complications (RR = 1.58 and CI = 1.04-2.40), major complications (RR = 3.17 and CI = 1.03-9.80) and death (P = 0.007). After logistic regression, the body mass index ≥55 kg/m 2 remained as a strong risk factor of death (OR = 3.6 and CI = 1.05-12.32). Conclusions -The body mass index ≥55 kg/m 2 was the main risk factor for severe complications and death. Other risk factors affecting the outcome were diabetes, obstructive sleep apnea and cardiopathy/coronariopathy.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors in superobese patients submitted to conventional Fobi-Capella surgery

Martins-Filho

Câmara-Neto

Ferraz³

et al. 2008

Arq. Gastroenterol.

View full text Add to dashboard Cite

show abstract

“…4,[14][15][16][17][18][19][20] The most frequent perioperative complication was wound infection (6.63%), and the most frequent late complication was incisional hernia (8.58%).…”

Section: Complicationsmentioning

confidence: 99%

“…In this review, 3 of 8 open GBP studies reported iatrogenic splenectomy. 15,18,20 The reason for splenic injury after open GBP included traction injury to the short gastric vessels or capsular tear from the use of retractors. In contrast, there were no reported cases of iatrogenic splenectomy in the laparoscopic GBP series.…”

Section: Commentmentioning

confidence: 99%

“…Another advantage of laparoscopic GBP is the elimination of the risk for fascial dehiscence and wound evisceration. See et al 20 Incisional hernia is a common complication after open GBP. [14][15][16][17][18][19][20] The results from this review demonstrated that the frequency of incisional hernia is lower after laparoscopic compared with open GBP (0.47% vs 8.58%, respectively).…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Complications After Laparoscopic Gastric Bypass

Podnos¹

2003

Arch Surg

665

290

View full text Add to dashboard Cite

“…Bariatric surgical options can result in up to 80% of long-term excess weight loss (EWL) [15] . However, surgical interventions are invasive and this entails potential postoperative complications [16][17][18][19] . Additionally, a very small percentage (less than 1%) of eligible obese patients eventually undergo bariatric surgery [20,21] .…”

Section: Introductionmentioning

confidence: 99%

Updates on gastric electrical stimulation to treat obesity: Systematic review and future perspectives

Cha

Marescaux

Diana

2014

WJGE

View full text Add to dashboard Cite

AIM:To evaluate the current state-of-the-art of gastric electrical stimulation to treat obesity. METHODS:Systematic reviews of all studies have been conducted to evaluate the effect of different types of gastric electrical stimulation (GES) on obesity. RESULTS:Thirty-one studies consisting of a total of 33 different trials were included in the systematic review for data analysis. Weight loss was achieved in most studies, especially during the first 12 mo, but only very few studies had a follow-up period longer than 1 year. Among those that had a longer follow-up period, many were from the Transcend ® (Implantable Gastric Stimulation) device group and maintained significant weight loss. Other significant results included changes in appetite/satiety, gastric emptying rate, blood pressure and neurohormone levels or biochemical markers such as ghrelin or HbA1c respectively. CONCLUSION:GES holds great promises to be an effective obesity treatment. However, stronger evidence is required through more studies with a standardized way of carrying out trials and reporting outcomes, to determine the long-term effect of GES on obesity. Key words: Gastric electrical stimulation; TANTALUS ® system; Transcend ® implantable gastric stimulator; Retrograde gastric electrical stimulation; Gastric vagal nerve stimulation; Gastric pacing; EMPOWER trial; Dual-lead implantable gastric electrical stimulation trial; Laparoscopic obesity stimulation survey; Screened health assessment and pacer evaluation Core tip: Obesity is a major issue in many countries. Current medical treatments do not last long enough and while surgical interventions are more effective, they imply a higher risk of complications. This review contains the most up-to-date information on gastric electrical stimulation, which has shown to be a less invasive and potentially effective treatment option for the treatment of obesity.Cha R, Marescaux J, Diana M. Updates on gastric electrical stimulation to treat obesity: Systematic review and future perspectives. World J Gastrointest Endosc 2014; 6(9): 419-431 Available from:

show abstract

An institutional experience with laparoscopic gastric bypass complications seen in the first year compared with open gastric bypass complications during the same period

Cited by 85 publications

References 7 publications

Evaluation of risk factors in superobese patients submitted to conventional Fobi-Capella surgery

Evaluation of risk factors in superobese patients submitted to conventional Fobi-Capella surgery

Complications After Laparoscopic Gastric Bypass

Updates on gastric electrical stimulation to treat obesity: Systematic review and future perspectives

Contact Info

Product

Resources

About