Laparoscopic bariatric surgery for morbid obesity: the first hundred cases in an Irish centre.
BACKGROUND
This study evaluated outcomes for the first 100 bariatric surgical procedures in a single, publicly funded Irish centre.


METHODS
This was a retrospective, chart-based study. Demographics and comorbidities of patients, peri- and post-operative outcomes and health benefits obtained by surgery were assessed.


RESULTS
In total, 87 patients underwent Roux-en-Y gastric bypass procedures, 11 underwent sleeve gastrectomies and 2 underwent duodenal switch. The first 13 operations were done as open procedures. Of the remaining 87 cases, 85 were started laparoscopically. Postoperatively, 2 laparotomies were performed for bleeding and 2 patients developed incarcerated incisional hernias that required repair. The 30-day readmission rate was 6% of which 2 patients required emergency surgery. There was one postoperative mortality from cardio-respiratory failure.


CONCLUSIONS
This series audits the introduction of a publicly funded bariatric service in Ireland and reports a high percentage of procedures completed laparoscopically with an acceptable morbidity and mortality.
Smith
F M
FM
Department of Surgery, St Columcille's Hospital, Loughlinstown, Dublin, Ireland. fassiefern@hotmail.com
Gallagher
H
H
O'Connell
J
J
O'Shea
D
D
Geogheghan
J
J
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D005260:Female; D015390:Gastric Bypass; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007494:Ireland; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011184:Postoperative Period; D011788:Quality of Life; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult