title: [Laparoscopic gastric bypass surgery in extreme overweight at a private hospital].
abstract: BACKGROUND
  Laparoscopic gastric bypass surgery leads to significant weight loss and reduced morbidity in patients with severe obesity. The technique was introduced at the private Aleris hospital the autumn 2005. We here present the method and results from our initial experience.
  
  
  METHODS
  Inclusion criteria were BMI > 40 kg/m2 or BMI 35-39,9 kg/m2 , with obesity-related co-morbidity for more than 5 years and insufficient effect of conservative treatment. The first 121 (103 women) consecutive patients who underwent gastric bypass surgery at Aleris Hospital were included. Characteristics were; mean age 40 years (18-68), mean preoperative body weight 134 kg (91-211) and BMI 44 m/kg 2 (35-64). Serious complications or major morbidity were defined as anastomosis- or intestinal leakage and bleeding requiring surgical treatment.
  
  
  RESULTS
  No deaths or major morbidity was observed the first 30 days after surgery. One patient underwent successful surgery of a perforated ulcer localized distally to the gastro-jejunal anastomoses 3 months p.o. Mean operating time was 62 min (40-124) for patients who underwent isolated laparoscopic bypass. The mean hospitalisation time was 2.9 days (2-6).
  
  
  CONCLUSIONS
  Our results demonstrate that bariatric surgery can be established successfully with a low rate of perioperative complications. We believe that thorough planning and experienced bariatric surgeons contribute to our favourable results. .
authors.affiliation: Alerissykehuset Frederik Stangs gate 11-13, 0264 Oslo. hjortur.gislason@aleris.no
authors.forename: Hjörtur
authors.initials: H
authors.lastname: Gislason
authors.forename: Johan
authors.initials: J
authors.lastname: Raeder
authors.forename: Audun
authors.initials: A
authors.lastname: Bergland
authors.forename: Bjørn Geir
authors.initials: BG
authors.lastname: Leifsson
authors.forename: Just
authors.initials: J
authors.lastname: Ebbesen
authors.forename: Ann Britt
authors.initials: AB
authors.lastname: Vikebø
authors.forename: Leif
authors.initials: L
authors.lastname: Naess
authors.forename: Ole
authors.initials: O
authors.lastname: Tjomsland
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015904:Biliopancreatic Diversion / Q000009:adverse effects / Q000379:methods; D015992:Body Mass Index; D002983:Clinical Competence; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods*; D016304:Hospitals, Private; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome