Precise laparoscopic Roux-en-Y gastric bypass in the treatment of 140 patients with obesity and metabolic diseases.
- Author:
Hua YANG
1
;
Cunchuan WANG
;
Jingge YANG
;
Guo CAO
;
Hening ZHAI
;
Shuqing YU
;
Weixin HUANG
;
Yong HUANG
;
Peng SUN
;
Yunlong PAN
Author Information
- Publication Type:Journal Article
- MeSH: Diabetes Mellitus, Type 2; Gastric Bypass; Humans; Hypertension; Laparoscopy; Length of Stay; Metabolic Syndrome; complications; Obesity; etiology; surgery; Retrospective Studies; Weight Loss
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(7):648-650
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the efficacy and safety of precise laparoscopic Roux-en-Y gastric bypass(LRYGB) in the treatment of obesity and metabolic diseases.
METHODSClinical and follow-up data of obese patients underwent precise LRYGB in our department between June 2011 and April 2013 were analyzed retrospectively.
RESULTSA total of 140 obese patients were included in this study. All the precise LRYGB procedures were successfully performed with no conversion to open surgery or perioperative death. Average operation time was (138.0±21.3) min, postoperative hospital stay was (5.2±1.2) d. No severe complications was observed. The percentages of excess weight loss in 1, 3, 6, and 12 month after operation were (26.4±8.6)%, (53.3±6.7)%, (75.3±7.9)%, (78.5±8.5)%, respectively. The improvement rates of fatty liver, hyperlipidemia, hypertension and type 2 diabetes mellitus were 84.6%(33/39), 92.3%(12/13), 77.3%(17/22) and 82.4%(14/17).
CONCLUSIONSPrecise LRYGB is a modified and optimized traditional surgical technique which does not significantly increase the operative time. It is safe and feasible. The postoperative weight loss effect is significant and it can effectively improve the related co-morbidities.
