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Laparoscopic vs Open Gastric Bypass in the Management of Morbid Obesity: A 7-year Retrospective Study of 1,364 Patients from a Single Center

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Abstract

Methods

We performed a retrospective analysis of 1,364 consecutive morbidly obese patients who underwent restrictive–malabsorptive Roux-en-Y 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 recorded.

Results

We report a sustained weight reduction in over 90% of patients. The anastomotic leak rate was 0.15%, the 30-day readmission rate was 1.17%, and the overall mortality rate was 0.15%. Minor surgical site infection rate was 0.5%, and revision to long limb RYGBP rate was 0.07%.

Conclusions

Morbid obesity represents a significant health issue. None of the medical methods of weight reduction provide a lasting weight reduction. Surgery offers the only achievable long-term 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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Authors and Affiliations

  1. Department of Surgery, North Shore University Hospital, Manhasset, NY, 11030, USA

    Emmanuel Atta Agaba, Hazem Shamseddeen, Charmaine Victoria Gentles, Venketesh Sasthakonar, Larry Gellman & Dominick Gadaleta

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  1. Emmanuel Atta Agaba
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  2. Hazem Shamseddeen
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  3. Charmaine Victoria Gentles
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  4. Venketesh Sasthakonar
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  5. Larry Gellman
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  6. Dominick Gadaleta
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Correspondence to Emmanuel Atta Agaba.

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Agaba, E.A., Shamseddeen, H., Gentles, C.V. et al. Laparoscopic vs Open Gastric Bypass in the Management of Morbid Obesity: A 7-year Retrospective Study of 1,364 Patients from a Single Center. OBES SURG 18, 1359–1363 (2008). https://doi.org/10.1007/s11695-008-9455-5

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  • DOI: https://doi.org/10.1007/s11695-008-9455-5

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