Open Roux-en-Y gastric bypass for the morbidly obese in the era of laparoscopy.
BACKGROUND
Roux-En-Y gastric bypass (RYGB) has been the preferred operative treatment for morbid obesity. Recently, laparoscopic RYGB has been described. We reviewed our data and believe that open RYGB is still the better option.


METHODS
One hundred three consecutive cases were retrospectively reviewed for preoperative conditions, perioperative outcomes, and postoperative complications with weight/health changes.


RESULTS
The mean follow-up was 5 months. The mean percent excess body weight loss was 33%. Comorbidities improved 50% of the time. The mean operative time was 117 minutes with blood loss averaging 208 cc. The mean intensive care unit stay was 1.3 days, with a total hospital stay of 4.4 days. There was an 8% major complication rate and a 1% mortality rate.


CONCLUSIONS
The health improvement and complication rates are comparable to published series on laparoscopic RYGB. With the technical complexity of the laparoscopic technique, open RYGB should remain the current standard of care, in most centers.
Reddy
Rishindra M
RM
Loyola University Medical Center, 2160 S. First Ave., Building 110, Room 3268, Maywood, IL 60153, USA.
Riker
Adam
A
Marra
Deborah
D
Thomas
Ryan
R
Brems
John J
JJ
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000401:mortality; D005260:Female; D015390:Gastric Bypass / Q000379:methods* / Q000401:mortality*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome