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Reoperative surgery--indications, efficacy, and long-term follow-up
1University of Minnesota, Minneapolis.
The American Journal of Clinical Nutrition
|February 1, 1992
Summary
The Roux-en-Y gastric bypass with fascial support (RYGBPF) is effective for morbid obesity management. This bariatric surgery shows good long-term weight loss and a low revision rate, despite higher complication risks in revision cases.
Area of Science:
- Bariatric Surgery
- Surgical Management of Obesity
- Gastrointestinal Surgery
Background:
- Morbid obesity presents significant health challenges requiring effective surgical interventions.
- Roux-en-Y gastric bypass with fascial support (RYGBPF) is a recognized bariatric procedure.
- RYGBPF can be utilized as both a primary and revision/conversion operation.
Purpose of the Study:
- To evaluate the effectiveness of RYGBPF in managing morbid obesity.
- To assess the outcomes of RYGBPF as a primary procedure.
- To analyze the results of RYGBPF as a revision/conversion operation.
Main Methods:
- Retrospective analysis of 361 primary and 100 revision RYGBPF operations performed since May 1984.
- Evaluation of morbidity, mortality, and late complications.
- Assessment of long-term weight loss and revision rates.
Main Results:
- RYGBPF demonstrated effectiveness in both primary and revision settings for morbid obesity.
- Low overall morbidity and mortality were reported, though higher in revision cases.
- Common late complications included staple line disruption and pouch/stoma enlargement, leading to weight regain.
Conclusions:
- RYGBPF is an effective bariatric surgery for primary and revision management of morbid obesity.
- Good 5-year weight loss results were achieved with RYGBPF.
- The adoption of RYGBPF has led to a significant reduction in the revision operation rate to less than 1%.