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[Simplified laparoscopic gastric bypass. Initial experience]
Luis Hernández-Miguelena1, Angélica Maldonado-Vázquez1, Pablo Cortes-Romano1
1Clínica de obesidad, Hospital Ángeles del Pedregal y Hospital San Ángel Inn. México, Distrito Federal, Veracruz, Veracruz, Mexico.
Background:
Obesity surgery includes various gastrointestinal procedures. Roux-en-Y gastric bypass is the prototype of mixed procedures being the most practiced worldwide. A similar and novel technique has been adopted by Dr. Almino Cardoso Ramos and Dr. Manoel Galvao called "simplified bypass," which has been accepted due to the greater ease and very similar results to the conventional technique. The aim of this study is to describe the results of the simplified gastric bypass for treatment of morbid obesity in our institution.
Methods:
We performed a descriptive, retrospective study of all patients undergoing simplified gastric bypass from January 2008 to July 2012 in the obesity clinic of a private hospital in Mexico City.
Results:
A total of 90 patients diagnosed with morbid obesity underwent simplified gastric bypass. Complications occurred in 10% of patients; these were more frequent bleeding and internal hernia. Mortality in the study period was 0%. The average weight loss at 12 months was 72.7%.
Conclusion:
Simplified gastric bypass surgery is safe with good mid-term results and a loss of adequate weight in 71% of cases.
