The American Journal of Surgery
Volume 195, Issue 5 , Pages 565-569, May 2008

Laparoscopic Roux-en-Y gastric bypass surgery: initial results of 120 consecutive patients at a single British Columbia surgical center

Presented at the North Pacific Surgical Society Meeting, November 9–12, 2007, Victoria, British Columbia, Canada.

  • David F. Schaeffer, M.D.

      Affiliations

    • Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada
    • Corresponding Author InformationCorresponding author. Tel.: +1-604-875-4480; fax: +1-604-875-4797.
    • ,
  • Conrad H. Rusnak, M.D.

      Affiliations

    • Department of Surgical Services, Royal Jubilee Hospital, Vancouver Island Health Authority, Victoria, British Columbia, Canada
    • ,
  • Bradley J. Amson, M.D.

      Affiliations

    • Department of Surgical Services, Royal Jubilee Hospital, Vancouver Island Health Authority, Victoria, British Columbia, Canada

Received 7 November 2007; received in revised form 2 January 2008 published online 27 March 2008.

Abstract 

Background

The prevalence of obesity in Canada is increasing, therefore, it has become imminently important to treat these patients in a timely manner.

Methods

A total of 120 consecutive patients who underwent a laparoscopic Roux-en-Y gastric bypass procedure (2004 to 2006), with a mean postoperative follow-up period of 19 months, were divided into 2 chronologic groups and analyzed retrospectively.

Results

The overall postoperative excess weight loss was 78.1% (SD, 14.3%) from the time of inclusion into the study preoperatively (average wait time, 21 mo) to 12 months postoperatively. No preoperative weight loss was recorded. A surgeon-dependent learning curve was shown with a decrease in surgical time as well as surgery-related complications. Obesity-associated comorbidities decreased whereas quality of life increased.

Conclusions

Despite a structured multidisciplinary approach to alter lifestyle and daily caloric intake preoperatively, only laparoscopic Roux-en-Y gastric bypass showed effective weight loss and reduced associated comorbidities.

Keywords: Laparoscopic Roux-en-Y gastric bypass, Bariatric surgery, Obesity, Surgical learning curve, Surgical wait time

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PII: S0002-9610(08)00093-7

doi:10.1016/j.amjsurg.2008.01.003

The American Journal of Surgery
Volume 195, Issue 5 , Pages 565-569, May 2008

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