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:4/22/2017)... ... , ... The San Juan Capistrano summer camp team at the Boys and Girls ... summer camps to provide physical activities for all campers. To read the report, click ... With an increase in specialty camps that focus on what the report terms as “sitting ...
(Date:4/21/2017)... , ... April 21, 2017 , ... Chicago plastic surgeon, ... removal of osteoma. An osteoma is a benign bony lump located on the forehead ... and can cause difficulties with sight and pain. Dr. Shah has discovered an approach ...
(Date:4/21/2017)... Colo. (PRWEB) , ... April 21, 2017 , ... The ... the Flex House, the next project in the company’s esteemed VISION House demonstration project ... homeowners use exactly the amount of resources they need to live affordably and abundantly ...
(Date:4/21/2017)... ... April 21, 2017 , ... The ... A Week of Addiction and Recovery Education, from April 24 to April 28, ... substance use disorders. , The mission of AWARE is to instill a ...
(Date:4/21/2017)... ... April 21, 2017 , ... ... quality-based imaging practices, is seeking candidates to serve on its Accreditation and ... , “RadSite’s ultimate mission is improving image quality and reducing patient ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... NEW YORK , April 19, 2017 The ... anticipated to showcase a healthy CAGR during the forecast period ... product type in the global digital mobile X-Ray devices market, ... 2,000 Mn in 2017, expanding at a CAGR of 7% ... create absolute $ opportunity of more than US$ 100 Mn ...
(Date:4/19/2017)... , April 19, 2017 The Global ... Forecast to 2022 report has covered and analysed the potential ... information on market size, shares and growth factors. The report ... challenges and opportunities in the global market. ... Browse 152 Tables and Figures, 6 Major ...
(Date:4/19/2017)... Calif. , April 19, 2017  SARES•REGIS ... buildings it is developing at Conejo Spectrum Business ... , to Atara Biotherapeutics, Inc. , a ... severe and life-threatening diseases that have been underserved ... allogeneic T-cell therapies for cancer, autoimmune and infectious ...
Breaking Medicine Technology:
Cached News: