Journal ArticleDOI
Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up.
Alan C Wittgrove,G Wesley Clark +1 more
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TLDR
The laparoscopic gastric bypass has an adequate track record to show effectiveness, and training programs should be established to maximize safety.Abstract:
Background:The authors have performed the laparoscopic gastric bypass since 1993 and perform about one-half of bariatric cases laparoscopically. Since our initial report, several groups throughout the world have preformed the gastric bypass laparoscopically, with various modifications. Method: Prospectively, we followed and recorded the results of our laparoscopic patients. A detailed pre- and post-operative analysis of the patient's co-morbidities is performed as well as complete weight and laboratory data evaluation. Results:With > 80% follow-up, we found an excess weight loss of about 80% by the first year. This degree of loss is well sustained. Over 95% of the significant pre-operative co-morbidities are controlled. Conclusion: The laparoscopic gastric bypass has been refined over 5 years of use. Though we have not changed the basic operation as we originally described, others have modified the various anastomotic techniques. The weight loss results are very good to excellent, with patients now out to "long-term" follow-up. Resolution of the co-morbidities is documented. The operation has an adequate track record to show effectiveness, and training programs should be established to maximize safety.read more
Citations
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2013 AHA/ACC/TOS Guideline for the Management of Overweight
Michael D. Jensen,H. Ryan,M. Apovian,Catherine M. Loria,Jamy D. Ard,Barbara E. Millen,Anthony G. Comuzzie,Cathy Nonas,Karen A. Donato,F. Xavier Pi-Sunyer,Frank B. Hu,S. Hubbard,Victor J. Stevens,John M. Jakicic,Thomas A. Wadden,Robert F. Kushner,Bruce M. Wolfe,Susan Z. Yanovski +17 more
Journal ArticleDOI
Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes
Philip R. Schauer,Deepak L. Bhatt,John P. Kirwan,Kathy Wolski,Ali Aminian,Stacy A. Brethauer,Sankar D. Navaneethan,Rishi P. Singh,Claire E. Pothier,Steven E. Nissen,Sangeeta R. Kashyap +10 more
TL;DR: Five‐year outcome data showed that, among patients with type 2 diabetes and a BMI of 27 to 43, bariatric surgery plus intensive medical therapy was more effective thanintensive medical therapy alone in decreasing, or in some cases resolving, hyperglycemia.
Journal ArticleDOI
Meta-analysis: surgical treatment of obesity.
Melinda A. Maggard,Lisa R. Shugarman,Marika J Suttorp,Margaret Maglione,Harvey J. Sugerman,Edward H. Livingston,Ninh T. Nguyen,Zhaoping Li,Walter Mojica,Lara Hilton,Shannon L. Rhodes,Sally C. Morton,Paul G. Shekelle +12 more
TL;DR: The increasing numbers of obese individuals have led to intensified interest in surgical treatments to achieve weight loss, and a variety of surgical procedures have been used (Figure 1), which generates weight loss primarily through malabsorption.
Journal ArticleDOI
Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
TL;DR: Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications and in patients with more than 1 year of follow-up.
Journal ArticleDOI
Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients.
Nicolas V. Christou,John S. Sampalis,Moishe Liberman,Didier Look,Stephane Auger,A. P. H. Mclean,Lloyd D. MacLean +6 more
TL;DR: This study shows that weight-loss surgery significantly decreases overall mortality as well as the development of new health-related conditions in morbidly obese patients.
References
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Journal ArticleDOI
Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.
Walter J. Pories,Melvin Swanson,Kenneth G. MacDonald,Stuart B. Long,Patricia G. Morris,Brenda M. Brown,Hisham A. Barakat,Richard A. deRamon,Jeanette M. Dolezal,G. Lynis Dohm +9 more
TL;DR: The gastric bypass operation provides long-term control of non-insulin-dependent diabetes mellitus (NIDDM) and antidiabetic effects appear to be due primarily to a reduction in caloric intake, suggesting that insulin resistance is a secondary protective effect rather than the initial lesion.
Journal ArticleDOI
Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases
TL;DR: The technique of laparoscopic gastric bypass, Roux-en-Y, has been developed, and performed in five patients, showing comparable weight loss, and reduced morbidity and disability.
Journal ArticleDOI
Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment.
Harvey J. Sugerman,Gregg L. Londrey,John M. Kellum,Luke Wolf,Thomas Liszka,Kathryn M. Engle,Regine Birkenhauer,Janet V. Starkey +7 more
TL;DR: With selective assignment, the percentage excess weight lost with gastric bypass was still better than that with vertical banded gastroplasty but at the expense of more complications.
Journal ArticleDOI
Laparoscopic surgery and the systemic immune response.
TL;DR: The systemic immune responses for surgery in general may not apply to laparoscopic surgery, and the body's response to Laparoscopy is one of lesser immune activation as opposed to immunosuppression.
Journal ArticleDOI
The Role of Gastric Surgery in the Multidisciplinary Management of Severe Obesity
Peter N. Benotti,R. Armour Forse +1 more
TL;DR: The significant long-term weight control resulting from the surgical therapy is associated with improvement and, often, resolution of comorbidities, including diabetes, hypertension, hyperlipidemia, and pulmonary insufficiency.