The American Journal of Surgery
Volume 192, Issue 5 , Pages e1-e7 , November 2006

A comparison of open and laparoscopic Roux-en-Y gastric bypass surgery for morbid and super obesity: a decision-analysis model

Presented at the 30th Annual Surgical Symposium of the Association of VA Surgeons, Cincinnati, Ohio, May 7–9, 2006

  • Ali Siddiqui, M.D.

      Affiliations

    • Division of Gastroenterology, VA North Texas Health Care System and University of Texas Southwestern Medical School, Dallas, TX, USA
    • ,
  • Edward Livingston, M.D.

      Affiliations

    • Division of GI/Endocrine Surgery, VA North Texas Health Care System and University of Texas Southwestern Medical School, 5323 Harry Hines Blvd., Dallas, TX 75390, USA
    • ,
  • Sergio Huerta, M.D.

      Affiliations

    • Division of GI/Endocrine Surgery, VA North Texas Health Care System and University of Texas Southwestern Medical School, 5323 Harry Hines Blvd., Dallas, TX 75390, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-214-648-9685; fax: +1-214-648-6700.

Received 12 May 2006 ,Revised 7 August 2006

References 

  1. Balsiger BM, Murr MM, Poggio JL, et al. Bariatric surgery (Surgery for weight control in patients with morbid obesity). Med Clin North Am. 2000;84:477–489
  2. Sturm R. Increases in clinically severe obesity in the United States, 1986–2000. Arch Intern Med. 2003;163:2146–2148
  3. Livingston EH. Obesity and its surgical management. Am J Surg. 2002;184:103–113
  4. Brolin RE, Kenler HA, Gorman JH, et al. Long-limb gastric bypass in the superobese (A prospective randomized study). Ann Surg. 1992;215:387–395
  5. Brolin RE. Update: NIH consensus conference (Gastrointestinal surgery for severe obesity). Nutrition. 1996;12:403–404
  6. Methods for Voluntary Weight Loss and Control. Ann Intern Med. 1993;119:641–770Proceedings of NIH Technology Assessment Conference. Bethesda, Maryland, 30 March-1 April 1992
  7. Gallagher SF, Banasiak M, Gonzalvo JP, et al. The impact of bariatric surgery on the Veterans Administration healthcare system: a cost analysis. Obes Surg. 2003;13:245–248
  8. Brolin RE. Update: NIH consensus conference (Gastrointestinal surgery for severe obesity). Nutrition. 1996;12:403–404
  9. Higa KD, Ho T, Boone KB. Laparoscopic Roux-en-Y gastric bypass: technique and 3-year follow-up. J Laparoendosc Adv Surg Tech A. 2001;11:377–382
  10. Dresel A, Kuhn JA, McCarty TM. Laparoscopic Roux-en-Y gastric bypass in morbidly obese and super morbidly obese patients. Am J Surg. 2004;187:230–232
  11. Schauer PR, Ikramuddin S, Gourash W, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–529
  12. Harewood GC, Wiersema MJ. Cost-effectiveness of endoscopic ultrasonography in the evaluation of proximal rectal cancer. Am J Gastroenterol. 2002;97:874–882
  13. Steiner C, Elixhauser A, Schnaier J. The healthcare cost and utilization project: an overview. Eff Clin Pract. 2002;5:143–151
  14. Wagner TH, Chen S, Barnett PG. Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA. Med Care Res Rev. 2003;60:15S–36S
  15. Paxton JH, Matthews JB. The cost effectiveness of laparoscopic versus open gastric bypass surgery. Obes Surg. 2005;15:24–34
  16. Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–289
  17. Sundbom M, Gustavsson S. Randomized clinical trial of hand-assisted laparoscopic versus open Roux-en-Y gastric bypass for the treatment of morbid obesity. Br J Surg. 2004;91:418–423
  18. Westling A, Gustavsson S. Laparoscopic vs open Roux-en-Y gastric bypass: a prospective, randomized trial. Obes Surg. 2001;11:284–292
  19. Podnos YD, Jimenez JC, Wilson SE, et al. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg. 2003;138:957–961
  20. Brolin RE, Kenler HA, Gorman JH, et al. Long-limb gastric bypass in the superobese (A prospective randomized study). Ann Surg. 1992;215:387–395
  21. Patterson EJ, Urbach DR, Swanstrom LL. A comparison of diet and exercise therapy versus laparoscopic Roux-en-Y gastric bypass surgery for morbid obesity: a decision analysis model. J Am Coll Surg. 2003;196:379–384
  22. Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236:576–582
  23. Mason EE, Doherty C, Maher JW, et al. Super obesity and gastric reduction procedures. Gastroenterol Clin North Am. 1987;16:495–502
  24. Oliak D, Ballantyne GH, Davies RJ, et al. Short-term results of laparoscopic gastric bypass in patients with BMI > or = 60. Obes Surg. 2002;12:643–647
  25. Shuhaiber J, Vitello J. Is gastric bypass associated with more complications in patients weighing >500 lb (>227 kg)?. Obes Surg. 2004;14:43–46
  26. Schauer PR, Ikramuddin S, Gourash W, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–529

PII: S0002-9610(06)00522-8

doi: 10.1016/j.amjsurg.2006.08.023

The American Journal of Surgery
Volume 192, Issue 5 , Pages e1-e7 , November 2006

Article Tools

* Image Usage & Resolution