Authors: Emmanuel Atta Agaba Hazem Shamseddeen Charmaine Victoria Gentles Venketesh Sasthakonar Larry Gellman Dominick Gadaleta
Publish Date: 2008/04/26
Volume: 18, Issue: 11, Pages: 1359-
Abstract
We performed a retrospective analysis of 1364 consecutive morbidly obese patients who underwent restrictive–malabsorptive RouxenY gastric bypass RYGBP between January 1998 and December 2004 A selective use of open and laparoscopic approaches was employed since 2001 Patients were seen in the office at 1 week 2 3 6 9 12 and 24 months and yearly thereafter During visits each patient was weighed and dietary intake and exercise regimen were recordedWe report a sustained weight reduction in over 90 of patients The anastomotic leak rate was 015 the 30day readmission rate was 117 and the overall mortality rate was 015 Minor surgical site infection rate was 05 and revision to long limb RYGBP rate was 007Morbid obesity represents a significant health issue None of the medical methods of weight reduction provide a lasting weight reduction Surgery offers the only achievable longterm solution Although not yet universally employed laparoscopic RYGBP is rapidly becoming the standard operation for the surgical treatment of clinically severe obesity
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