title: Open Roux-en-Y gastric bypass in 925 patients without mortality.
abstract: BACKGROUND
  Open Roux-en-Y gastric bypass has become the gold standard for bariatric surgery. Safety has always been a concern with this elective surgery, especially among the general public. With increasing numbers of bariatric surgeries being performed, the public eye is once again focused on safety and outcomes for these patients.
  
  
  METHODS
  Nine hundred twenty-five consecutive open Roux-en-Y gastric bypass patients were reviewed. Charts were retrospectively reviewed for early complications, late complications, and resolution of medical comorbidities.
  
  
  RESULTS
  There were no deaths in this study group. The average body mass index (BMI) was 51. Eight leaks at the anastomosis occurred with no reoperations. Hypertension resolved in 70% and diabetes mellitus resolved in 58% of patients.
  
  
  CONCLUSIONS
  Open Roux-en-Y gastric bypass is a safe operation, even with increasing numbers of surgeries being performed. Major complications are low and improvement of medical comorbidities is significant. A multidisciplinary team approach helps to improve care and clinical outcomes.
authors.affiliation: Hurley Medical Center, Trauma and Bariatric Surgery, Department of Surgery, One Hurley Plaza, Flint, MI 48503, USA. Fobeid1@Hurleymc.com
authors.forename: Farouck
authors.initials: F
authors.lastname: Obeid
authors.forename: Anthony
authors.initials: A
authors.lastname: Falvo
authors.forename: Harris
authors.initials: H
authors.lastname: Dabideen
authors.forename: Julie
authors.initials: J
authors.lastname: Stocks
authors.forename: Monica
authors.initials: M
authors.lastname: Moore
authors.forename: Margie
authors.initials: M
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D015992:Body Mass Index; D003920:Diabetes Mellitus / Q000209:etiology / Q000628:therapy; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss