TITLE

Interval Jejunoileal Bypass Reduces the Morbidity and Mortality of Roux-en-Y Gastric Bypass in the Super-Obese

AUTHOR(S)
Arteaga, James R.; Huerta, Sergio; Basa, Nicole R.; Livingston, Edward H.
PUB. DATE
October 2003
SOURCE
American Surgeon;Oct2003, Vol. 69 Issue 10, p873
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Among Roux-en-Y gastric bypass (RYGB) patients, large male patients carry the greatest risk for severe, life-threatening complications. The higher complication rate is partly related to large amounts of intra-abdominal fat that increases the technical difficulty of the RYGB. In order to minimize the risk for complications, we established a staged approach for weight loss surgery for high-risk, super-obese patients. Patients with intra-abdominal fat at exploration which precluded the performance of RYGB underwent jejunoileal bypass (JIB). Following an initial period of weight loss (6-24 months), they were converted to a RYGB during a second operation. Twentyfour patients underwent initial JIB that was associated with a major complication rate of 8.3 percent (2/24) and no mortality. Eight patients lost 53.4 ± 6.3 kg prior to their conversion to RYGB (mean, 14.1 months). There was one major complication (12%) and no deaths (0%). Following RYGB, an additional period of weight loss resulted in overall excess weight loss (EWL) totaling 62 per cent. A two-step procedure is a safe and effective approach for minimizing complications for high-risk patients undergoing RYGB. The initial JIB was associated with low morbidity and no mortality, and the follow-up RYGB procedure was a technically simple operation that could be performed with few complications.
ACCESSION #
11855793

 

Related Articles

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics