Objective
Surgical treatment of severe obesity is the most rapidly growing specialty area of
surgery. The rapid expansion of bariatric surgery has raised questions and concerns
regarding possible increased surgical mortality and morbidity rates in both academic
and community settings. The purpose of this study was to evaluate postoperative outcomes
and risk factors for bariatric gastric surgery for severe obesity.
Methods
A community experience of 1009 consecutive patients who underwent open surgical treatment
of morbid obesity during a 9-year period was reviewed from a prospective database.
The series included 858 primary gastric bypass operations and 151 revision operations.
Perioperative outcomes, late complications, and weight loss results were recorded.
Morbidity and mortality rates were analyzed according to patient age, body mass index
(BMI), and gender.
Results
The mortality rate in the series was 0.6%, and the morbidity rate was 20%. The major
complication rate was 6.6%. There were no deaths in the 151 revision patients. The
gastrointestinal leak rate was 0.8%, and the thromboembolism rate was 1%. Statistical
analysis indicates that BMI is a risk factor for surgical complications.
Conclusion
Open gastric surgery for morbid obesity can be carried out in the community setting
with low mortality and morbidity rates. BMI is a proven surgical risk factor.
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Article info
Publication history
Accepted:
August 22,
2005
Danville, Pa, and Ridgewood and Englewood, NJIdentification
Copyright
© 2006 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
