Clinical outcomes of single-stage versus two-stage laparoscopic Roux-en-y gastric bypass in the management of obesity (BMI ≥ 50 kg/m²): a retrospective cohort study.

ABSTRACT:

Background

Laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients with obesity, BMI ≥ 50 kg/m², can be a challenging operation. Weight loss with intra-gastric balloon (IGB) insertion prior to LRYGB may improve operative outcomes.

Methods

Between June 2000 and June 2020, patients with a BMI ≥ 50 kg/m² underwent either IGB insertion followed by LRYGB (two-stage group), or LRYGB as the definitive bariatric procedure (single-stage group) in our institution. The two-stage procedure was adopted for high risk individuals. Primary outcome measures were percentage total weight loss (%TWL) at 24 months, length of stay and postoperative morbidity. Propensity score analysis was used to account for differences between groups.

Results

A total of 155 (mean a

SUBMITTER: Fadel MG 

PROVIDER: S-EPMC9722810 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature