Open Roux-en-Y gastric bypass in 925 patients without mortality.
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.
Obeid
Farouck
F
Hurley Medical Center, Trauma and Bariatric Surgery, Department of Surgery, One Hurley Plaza, Flint, MI 48503, USA. Fobeid1@Hurleymc.com
Falvo
Anthony
A
Dabideen
Harris
H
Stocks
Julie
J
Moore
Monica
M
Wright
Margie
M
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