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Pericardial patch ring Roux-en-Y gastric bypass: a preliminary report
Rena Moon1, Andre Teixeira, Muhammad A Jawad
1Department of Bariatric Surgery, Orlando Regional Medical Center, Bariatric and Laparoscopy Center, Orlando Health, 89 Copeland Ave, 1st Floor, Orlando, FL 32806, USA.
Obesity Surgery
|December 15, 2012
Summary
The pericardial patch ring Roux-en-Y gastric bypass (RYGB) is a safe alternative for weight loss surgery. This bariatric procedure showed a 57.4% excess weight loss with low complication rates.
Area of Science:
- Bariatric Surgery
- Obesity Treatment
- Surgical Innovation
Background:
- Laparoscopic Roux-en-Y gastric bypass (RYGB) is effective for morbid obesity but has a 10-30% failure rate.
- Silastic ring RYGB reduces failure but increases complications.
- Evaluating pericardial patch as a safe alternative ring for RYGB is crucial.
Purpose of the Study:
- To assess the safety and efficacy of using a pericardial patch as a ring in laparoscopic Roux-en-Y gastric bypass (RYGB).
- To compare the outcomes of pericardial patch ring RYGB with other bariatric procedures.
Main Methods:
- A retrospective review of a prospectively collected database.
- 189 patients underwent pericardial patch ring RYGB between March 2010 and June 2011.
- Outcomes and complications were analyzed for all patients.
Main Results:
- Patients achieved a mean 57.4% excess weight loss at 11 months follow-up.
- Low complication rates: 3.0% required dilation for dysphagia/obstruction, 1.8% had diagnostic laparoscopy for pain.
- No readmissions or reoperations were needed due to the pericardial patch ring.
Conclusions:
- Pericardial patch ring RYGB appears to be a safe alternative to other banded RYGB methods.
- Longer follow-up is necessary to confirm long-term efficacy in weight management.
- This technique shows promise in improving outcomes for bariatric surgery patients.
