Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

DeMaria, Eric J.; Schweitzer, Michael; Meador, Jill G.; Wolfe, Luke; Sugerman, Harvey J.

doi:10.1007/s00464-001-8321-5

Cited by 28 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Weight loss was similar in both groups, as were postoperative complications. DeMaria et al confirmed these results in a nonrandomised study (EL 2b [74]). …”

Section: Surgical Access: Open Vs Laparoscopicsupporting

confidence: 76%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

449

280

View full text Add to dashboard Cite

After the patient's multidisciplinary evaluation, obesity surgery should be considered in adults with a documented BMI greater than or equal to 35 and related comorbidity, or a BMI of at least 40. In addition to standard laboratory testing, chest radiography, electrocardiography, spirometry, and abdominal ultrasonography, the preoperative evaluation of obesity surgery patients also includes upper gastrointestinal endoscopy or radiologic evaluation with a barium meal. Psychiatric consultation and polysomnography can safely be restricted to patients with clinical symptoms on preoperative screening. Adjustable gastric banding (GB), vertical banded gastroplasty (VBG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications. The choice of procedure therefore should be tailored to the individual situation. There is evidence that a laparoscopic approach is advantageous for LAGB, VBG, and GB (and probably also for BPD). Antibiotic and antithromboembolic prophylaxis should be used routinely. Patients should be seen 3 to 8 times during the first postoperative year, 1 to 4 times during the second year and once or twice a year thereafter. Outcome assessment after surgery should include weight loss and maintainance, nutritional status, comorbidities and quality-of-life.

show abstract

“…Weight loss was similar in both groups, as were postoperative complications. DeMaria et al confirmed these results in a nonrandomised study (EL 2b [74]). …”

Section: Surgical Access: Open Vs Laparoscopicsupporting

confidence: 76%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

449

280

View full text Add to dashboard Cite

show abstract

“…Marginal ulceration is a well-known complication of Rouxen-Y gastric bypass occurring in 1% to 16% of patients [14][15][16]. In our series, the incidence of stomal ulceration is 10.7%.…”

Section: Discussionmentioning

confidence: 59%

Can a Short Course of Prophylactic Low-dose Proton Pump Inhibitor Therapy Prevent Stomal Ulceration After Laparoscopic Roux-en-Y Gastric Bypass?

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Paradoxically, Angus et al 10 demonstrated that the hospital costs of bariatric surgery were higher (US$ 11,773.00) in the public health system (Medicare and Medicaid) compared to private care (US$ 4,435.00). Several other authors have reported widely varying costs ranging from US$ 7,800.00 to US$20,500.00 4,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Júnior

Pitanga²,

Santos

et al. 2010

Acta Cir. Bras.

View full text Add to dashboard Cite

Purpose: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). Methods: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. .525,64, por conta do aumento do preço de materiais e medicamentos. A remuneração do procedimento pelo SUS nos dois anos foi de R$ 3.259,72. Conclusão: Apesar da adoção de diversas medidas para reduzir as despesas da cirurgia bariátrica, houve aumento dos custos, o que reforça a necessidade de avaliação permanente do financiamento da prestação de serviço para o SUS pelos três entes da federação.

show abstract

Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

Cited by 28 publications

References 7 publications

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Can a Short Course of Prophylactic Low-dose Proton Pump Inhibitor Therapy Prevent Stomal Ulceration After Laparoscopic Roux-en-Y Gastric Bypass?

Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Contact Info

Product

Resources

About