LAPAROSCOPIC GASTRIC BYPASS AS A RESCUE SURGERY AFTER FAILED RESTRICTIVE PROCEDURES

Abstract

Objective: To expose the experience of Surgery 2 Service at Hospital Universitario de Caracas, in the conversion to laparoscopic gastric bypass those restrictive procedures failed. Patients and method: 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: Twelve 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 performed 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. Conclusion: Gastric bypass surgery is safe and effective as surgery of rescue after failed restrictive procedures.