Laparoscopic Roux-en-Y gastric bypass surgery: initial results of 120 consecutive patients at a single British Columbia surgical center

Schaeffer, David F.; Rusnak, Conrad; Amson, Bradley J.

doi:10.1016/j.amjsurg.2008.01.003

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…The mean operating time to perform laparoscopic RYGB in our series was similar to that previously reported in the literature [13, 19, 20, 22, 23]; however, considerable variability exists between studies [18, 24, 25]. Furthermore, a number of studies have suggested that a learning curve exists and influences operating times [13, 25, 26].…”

Section: Discussionsupporting

confidence: 85%

“…Overall, our complication rates following RYGB were comparable to other laparoscopic RYGB series [13, 25, 26]. However, we observed an overall GJ stricture rate of 6.5%, compared to a 2–4% rate reported in the literature [27–32].…”

Section: Discussionsupporting

confidence: 83%

“…Improvement in their study was defined as a decrease in oral antidiabetic agents, which is similar to our definition. In contrast, the Canadian study by Schaeffer et al reported a 16% decrease in the rate of T2DM after RYGB [13]. This was equivalent to about a 50% improvement rate.…”

Section: Discussionmentioning

confidence: 91%

“…Furthermore, a number of studies have suggested that a learning curve exists and influences operating times [13, 25, 26]. The Canadian study by Schaeffer et al reported that their operative time was significantly lower in their second cohort of 60 patients, with a mean time of 146 min [13].…”

Section: Discussionmentioning

confidence: 99%

“…Batsis et al reported that approximately 40% of their hypertensive patients improved after RYGB surgery [37]. The Canadian study by Schaeffer et al also reported a 19% decrease in the rate of hypertension after RYGB, which was approximately a 40% improvement rate [13]. So, there is discrepancy in the improvement rates for both T2DM and hypertension.…”

Section: Discussionmentioning

confidence: 99%

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Early Outcomes of Roux-en-Y Gastric Bypass in a Publically Funded Obesity Program

et al. 2013

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Background. There is limited literature assessing the outcomes of bariatric surgery in a publically funded, North American, multidisciplinary bariatric program. Our objective was to assess outcomes of roux-en-Y gastric bypass (RYGB) in a publically funded bariatric program through a retrospective review of patient records. Methods. 293 patients spent a median of 13 months attending a multidisciplinary obesity clinic prior to undergoing laparoscopic RYGB surgery. The hospital was a Canadian, publically funded, level 2 trauma center with university teaching services. Results. 79% of the patients were female and the average BMI at first visit to clinic was 55.3 kg/m2. The average decrease in BMI was 19.2 ± 0.9 kg/m2. This was an average absolute weight loss of 56.1 kg or 35.5% of initial weight. The average excess weight loss was 63.4 ± 20.4%. Improvement or resolution of obesity related comorbidities occurred in 65.9% of type 2 diabetics and in 50% of hypertensive patients. Conclusion. Despite this being an unconventional setting of a publically funded program in a large Canadian teaching hospital, early outcomes following RYGB were appropriate in severely obese patients. Ongoing work will identify areas of improvement for enhanced efficiencies within this system.

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