Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass
It has been suggested that super-super obesity (body mass index [BMI] > or =60 kg/m2) increases the risk of complications after laparoscopic Roux-en-Y gastric bypass (LapRYGB). We hypothesized that a higher BMI does not increase risk the morbidity or mortality rate. Complication rates for patient...
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Veröffentlicht in: | Surgical endoscopy 2005-07, Vol.19 (7), p.939-941 |
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creator | TICHANSKY, D. S DEMARIA, E. J FERNANDEZ, A. Z KELLUM, J. M WOLFE, L. G MEADOR, J. G SUGERMAN, H. J |
description | It has been suggested that super-super obesity (body mass index [BMI] > or =60 kg/m2) increases the risk of complications after laparoscopic Roux-en-Y gastric bypass (LapRYGB). We hypothesized that a higher BMI does not increase risk the morbidity or mortality rate.
Complication rates for patients with a BMI > or =60 kg/m2 were compared to those for patients with a BMI |
doi_str_mv | 10.1007/s00464-004-8929-3 |
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Complication rates for patients with a BMI > or =60 kg/m2 were compared to those for patients with a BMI <60 kg/m2 who underwent LapRYGB during the same time period. Differences between the groups were analyzed by Fisher's exact test, t-tests, and analysis of variance.
Forty-five patients with a BMI > or =60 kg/m2 and 640 patients with a BMI <60 kg/m2 underwent LapRYGB. There were no statistically significant differences between the two groups in the complication or mortality rates. Excess weight loss was less, but actual weight lost was greater in the BMI > or =60 kg/m2 group.
The complication and mortality rates are not increased in super-super obese patients who undergo LapRYGB. Acceptable weight loss can be achieved safely in these patients.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-004-8929-3</identifier><identifier>PMID: 15920681</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Biological and medical sciences ; Body Mass Index ; Comorbidity ; Digestive system. Abdomen ; Endoscopy ; Feasibility Studies ; Female ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Length of Stay ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Mortality ; Obesity ; Obesity, Morbid - surgery ; Postoperative Complications - epidemiology ; Retrospective Studies ; Risk Factors ; Treatment Outcome</subject><ispartof>Surgical endoscopy, 2005-07, Vol.19 (7), p.939-941</ispartof><rights>2005 INIST-CNRS</rights><rights>Springer Science+Business Media, Inc. 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-5f331a125db58c7d74896665418a5668aaa2a2a6767ad25a4fbb0806c2f85e613</citedby><cites>FETCH-LOGICAL-c356t-5f331a125db58c7d74896665418a5668aaa2a2a6767ad25a4fbb0806c2f85e613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17078027$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15920681$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TICHANSKY, D. S</creatorcontrib><creatorcontrib>DEMARIA, E. J</creatorcontrib><creatorcontrib>FERNANDEZ, A. Z</creatorcontrib><creatorcontrib>KELLUM, J. M</creatorcontrib><creatorcontrib>WOLFE, L. G</creatorcontrib><creatorcontrib>MEADOR, J. G</creatorcontrib><creatorcontrib>SUGERMAN, H. J</creatorcontrib><title>Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>It has been suggested that super-super obesity (body mass index [BMI] > or =60 kg/m2) increases the risk of complications after laparoscopic Roux-en-Y gastric bypass (LapRYGB). We hypothesized that a higher BMI does not increase risk the morbidity or mortality rate.
Complication rates for patients with a BMI > or =60 kg/m2 were compared to those for patients with a BMI <60 kg/m2 who underwent LapRYGB during the same time period. Differences between the groups were analyzed by Fisher's exact test, t-tests, and analysis of variance.
Forty-five patients with a BMI > or =60 kg/m2 and 640 patients with a BMI <60 kg/m2 underwent LapRYGB. There were no statistically significant differences between the two groups in the complication or mortality rates. Excess weight loss was less, but actual weight lost was greater in the BMI > or =60 kg/m2 group.
The complication and mortality rates are not increased in super-super obese patients who undergo LapRYGB. Acceptable weight loss can be achieved safely in these patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkVtrFTEUhUNR7LH6A_oiQdC32Fwml3mUUi9QUIo--BT2ZDJ1ypxkzJ6p9qH_vTmeA4WSzcpO-PYiYRFyKvgHwbk9Q84b07CqzLWyZeqIbESjJJNSuGdkw1vFmbRtc0xeIt7wCrZCvyDHQreSGyc25P57xiXPscAy3kYa8naexlAPOSGFEmnKCx1TKBEw9rWjuFaa_Veau4iRzhWPaUH693ema-pjuc50ghlKxpDnMdCrvP5jMbFf9BpwKfWmu5sB8RV5PsCE8fVhPyE_P138OP_CLr99_nr-8ZIFpc3C9KCUACF132kXbG8b1xpjdCMcaGMcAMi6jDUWeqmhGbqOO26CHJyORqgT8n7vO5f8Z424-O2IIU4TpJhX9MbpWlJW8O0T8CavJdW3eSlaLbh0Ozexh0L9IJY4-LmMWyh3XnC_C8bvg_FV_S4Yr-rMm4Px2m1j_zhxSKIC7w4AYIBpKJDCiI-c5dZxadUDwZWXTQ</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>TICHANSKY, D. 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G ; SUGERMAN, H. J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-5f331a125db58c7d74896665418a5668aaa2a2a6767ad25a4fbb0806c2f85e613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TICHANSKY, D. S</creatorcontrib><creatorcontrib>DEMARIA, E. J</creatorcontrib><creatorcontrib>FERNANDEZ, A. Z</creatorcontrib><creatorcontrib>KELLUM, J. 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S</au><au>DEMARIA, E. J</au><au>FERNANDEZ, A. Z</au><au>KELLUM, J. M</au><au>WOLFE, L. G</au><au>MEADOR, J. G</au><au>SUGERMAN, H. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>19</volume><issue>7</issue><spage>939</spage><epage>941</epage><pages>939-941</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>It has been suggested that super-super obesity (body mass index [BMI] > or =60 kg/m2) increases the risk of complications after laparoscopic Roux-en-Y gastric bypass (LapRYGB). We hypothesized that a higher BMI does not increase risk the morbidity or mortality rate.
Complication rates for patients with a BMI > or =60 kg/m2 were compared to those for patients with a BMI <60 kg/m2 who underwent LapRYGB during the same time period. Differences between the groups were analyzed by Fisher's exact test, t-tests, and analysis of variance.
Forty-five patients with a BMI > or =60 kg/m2 and 640 patients with a BMI <60 kg/m2 underwent LapRYGB. There were no statistically significant differences between the two groups in the complication or mortality rates. Excess weight loss was less, but actual weight lost was greater in the BMI > or =60 kg/m2 group.
The complication and mortality rates are not increased in super-super obese patients who undergo LapRYGB. Acceptable weight loss can be achieved safely in these patients.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>15920681</pmid><doi>10.1007/s00464-004-8929-3</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Body Mass Index Comorbidity Digestive system. Abdomen Endoscopy Feasibility Studies Female Gastric Bypass - adverse effects Gastric Bypass - methods Gastrointestinal surgery Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Length of Stay Male Medical sciences Metabolic diseases Middle Aged Mortality Obesity Obesity, Morbid - surgery Postoperative Complications - epidemiology Retrospective Studies Risk Factors Treatment Outcome |
title | Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass |
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