HOME >> MEDICINE >> NEWS
Gastric bypass patients fare better as surgical programs' experience increases

CHICAGO Risk of serious complications and death following gastric bypass surgery for morbid obesity may be reduced substantially when the surgery is performed at high volume centers and the surgeons have reached the 100 case experience, according to an article in the April issue of Archives of Surgery, one of the JAMA/Archives journals.

The number of surgical procedures for morbid obesity has increased by 644 percent in the last decade, according to background information in the article. Although laparoscopic Roux-en-Y gastric bypass surgery has been the "gold standard" operative procedure for the treatment of intractable morbid obesity for more than 30 years, it remains a technically difficult operation that is performed on a high-risk patient population. "As most bariatric surgeons are well aware, morbidly obese patients do not tolerate complications," the authors write. "Complications, such as leaks [of the staple line], often result in catastrophic outcomes for these patients."

Scott A. Shikora, M.D., of Tufts-New England Medical Center, Boston, and colleagues analyzed the medical records of 750 consecutive morbidly obese patients who underwent laparoscopic Roux-en-Y gastric bypass surgery at Tufts-New England Medical Center from March 1998 to April 2004 to evaluate the role of experience and patient volume in reducing the rate of complications in patients undergoing this type of surgery. Eighty-five percent of the patients were female, with a mean age of 41 years. Their body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) ranged from 32 to 86 (a BMI greater than 29.9 is considered obese) with an average BMI of 47.

The overall complication rate was 15 percent with a death rate of 0.3 percent, according to the authors. But for the first 100 cases, the overall complication rate was 26 percent with a death rate of one percent. This complication rate decreased to approximately 13 percent and wa
'"/>

Contact: Leigh Lucas
617-636-0200
JAMA and Archives Journals
18-Apr-2005


Page: 1 2

Related medicine news :

1. Gastric bug link to irregular heart rhythm
2. Researchers begin randomized double-blind trial of airway bypass treatment for emphysema
3. Experts debate role of stenting, bypass surgery in left main coronary artery disease
4. Jefferson scientists find that plavix appears to be safe during and after heart bypass
5. Jefferson scientists find that drug-eluting stents are disappointing in bypass grafts -- sometimes
6. For super-obese patients, duodenal switch beats gastric bypass
7. New scoring system predicts gastric bypass surgery risk
8. Higher rates of infection may explain why women have higher risk of death after bypass surgery
9. Researchers isolate causes of cognitive loss following coronary artery bypass surgery
10. After gastric bypass surgery, important to check vitamin B1 deficiency
11. Study confirms that stents releasing medication help keep heart bypass vein grafts open

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... AR (PRWEB) , ... October 13, 2017 , ... ... with locations throughout Arkansas that offers insurance and financial preparation services, is providing ... the Rock City Rescue organization. , Rock City Rescue is a locally recognized ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... certification process to promote standards of excellence for the field of eating disorders, ... March 22 – 25, 2018 in Orlando, Florida at the Omni Resort at ...
(Date:10/13/2017)... CT (PRWEB) , ... October 13, 2017 , ... ... long-term care services, staged a mock evacuation of the facility as part of a ... Shelton Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Global Healthcare ... scenic Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare ... activity. The fun run is geared towards children of all ages; it is ...
(Date:10/13/2017)... ... ... Journey: From the Mountains to the Mission Field”: the story of a missionary couple ... From the Mountains to the Mission Field” is the creation of published author, Carole ... and currently teaches a class of ladies at her church, which she has taught ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)...  According to the Centers for Disease Control and Prevention (CDC), ... Urgent Care is helping communities across Massachusetts , ... offering no-cost* flu shots through the end of the month. ... regulations. ... a flu shot is by the end of October, according to the ...
(Date:10/2/2017)... , Oct. 2, 2017 Diplomat Pharmacy, ... 8th Day Software and Consulting, LLC , and named ... 8th Day Software, based in Tennessee , ... 8th Day expands EnvoyHealth,s service offerings for health care ... "In an interoperable ...
(Date:10/2/2017)... , Oct. 2, 2017  AllianceRx Walgreens Prime, the ... by Walgreens and pharmacy benefit manager Prime Therapeutics LLC ... brand, which included the unveiling of new signage at ... as well as at a few other company-owned facilities ... brand to patients, some of whom will begin to ...
Breaking Medicine Technology:
Cached News: