LAPAROSCOPIC GASTRIC BYPASS AS RESCUE SURGERY WHEN RESTRICTIVE PROCEDURES FAILED

Abstract

Objective: To expose the experience in the conversion to laparoscopic gastric bypass when restrictive procedures failed, at Hospital Universitario de Caracas. Surgery II service. Patients and methods: A retrospective and descriptive study was conducted including patients who undergoing gastric bypass surgery as rescue procedure after a bariatric restrictive procedure failed, from January 2007 to December 2010. Results: 12 patients with median age of 46.4 years and predominance of female (58%) involved. Eight had placed an adjustable gastric band surgery and 4 had made a laparoscopic vertical gastrectomy. The average weight before the first surgery was 125,7 Kg and BMI 46 kg/m2. All the patients had inadequate weight loss with an average of 9.8% of excess weight lost, reason by which it was decided to review and performe laparoscopy gastric bypass. The average time from the first procedure was 47 months. Only 1 patient developed postoperative
complications and resolved medically. After 6 months, the loss of excess weight was 53.3% and after a year 70.4 percent with a BMI of 29.6 kg/m².