Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60

Daniel T. Farkas, Prathiba Vemulapalli, Ali Haider, James M. Lopes, Karen E. Gibbs, Julio A. Teixeira

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. There is little data on the outcomes in massively super-obese patients, with a body mass index (BMI) ≥60 kg/m2 (super-super-obese). The goal of this study was to determine the safety and effectiveness of LRYGBP in these patients, and compare these results to patients with a BMI <60. Methods: 213 consecutive patients undergoing LRYGBP by a single surgeon at a university hospital were included in the study. The patients were divided into 2 groups: BMI <60 kg/m2 (n=167) and BMI ≥60 kg/m2 (n=46). The 2 groups were compared with regard to perioperative complications, and postoperative weight loss. Results: Both groups had statistically similar complication rates. There were major complications in 8 patients (5%) in the lower BMI group and in 3 patients (7%) in the higher BMI group. There were minor complications in 9 patients (5%) in the lower BMI group and in 4 patients (9%) in the higher BMI group. Mean percent excess weight loss (%EWL) was 64% at 1 year in the BMI < 60 group and 53% in the BMI ≥ 60 group. Conclusion: LRYGBP can be performed safely and effectively in super-super-obese patients (BMI ≥60). Although these patients have less %EWL than lighter patients, they still end up with a good result. Therefore, LRYGBP should be considered a good surgical option even for patients with a BMI ≥60.

Original languageEnglish (US)
Pages (from-to)486-493
Number of pages8
JournalObesity Surgery
Volume15
Issue number4
DOIs
StatePublished - Apr 2005

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Gastric Bypass
Body Mass Index
Weight Loss

Keywords

  • BMI
  • Complications
  • Gastric bypass
  • Morbid obesity
  • Super obesity
  • Weight loss

ASJC Scopus subject areas

  • Surgery

Cite this

Farkas, D. T., Vemulapalli, P., Haider, A., Lopes, J. M., Gibbs, K. E., & Teixeira, J. A. (2005). Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60. Obesity Surgery, 15(4), 486-493. https://doi.org/10.1381/0960892053723466

Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60. / Farkas, Daniel T.; Vemulapalli, Prathiba; Haider, Ali; Lopes, James M.; Gibbs, Karen E.; Teixeira, Julio A.

In: Obesity Surgery, Vol. 15, No. 4, 04.2005, p. 486-493.

Research output: Contribution to journalArticle

Farkas, DT, Vemulapalli, P, Haider, A, Lopes, JM, Gibbs, KE & Teixeira, JA 2005, 'Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60', Obesity Surgery, vol. 15, no. 4, pp. 486-493. https://doi.org/10.1381/0960892053723466
Farkas DT, Vemulapalli P, Haider A, Lopes JM, Gibbs KE, Teixeira JA. Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60. Obesity Surgery. 2005 Apr;15(4):486-493. https://doi.org/10.1381/0960892053723466
Farkas, Daniel T. ; Vemulapalli, Prathiba ; Haider, Ali ; Lopes, James M. ; Gibbs, Karen E. ; Teixeira, Julio A. / Laparoscopic Roux-en-Y gastric bypass is safe and effective in patients with a BMI ≥ 60. In: Obesity Surgery. 2005 ; Vol. 15, No. 4. pp. 486-493.
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abstract = "Background: Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been shown to be safe and effective. There is little data on the outcomes in massively super-obese patients, with a body mass index (BMI) ≥60 kg/m2 (super-super-obese). The goal of this study was to determine the safety and effectiveness of LRYGBP in these patients, and compare these results to patients with a BMI <60. Methods: 213 consecutive patients undergoing LRYGBP by a single surgeon at a university hospital were included in the study. The patients were divided into 2 groups: BMI <60 kg/m2 (n=167) and BMI ≥60 kg/m2 (n=46). The 2 groups were compared with regard to perioperative complications, and postoperative weight loss. Results: Both groups had statistically similar complication rates. There were major complications in 8 patients (5{\%}) in the lower BMI group and in 3 patients (7{\%}) in the higher BMI group. There were minor complications in 9 patients (5{\%}) in the lower BMI group and in 4 patients (9{\%}) in the higher BMI group. Mean percent excess weight loss ({\%}EWL) was 64{\%} at 1 year in the BMI < 60 group and 53{\%} in the BMI ≥ 60 group. Conclusion: LRYGBP can be performed safely and effectively in super-super-obese patients (BMI ≥60). Although these patients have less {\%}EWL than lighter patients, they still end up with a good result. Therefore, LRYGBP should be considered a good surgical option even for patients with a BMI ≥60.",
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