European experience with laparoscopic Roux-en-Y gastric bypass in 466 obese patients.

Roux-en-Y gastric bypass (RYGBP) is usually considered as the procedure of choice for morbid obesity, but its use has been limited in Europe. It is not known whether results with European patients match those from the USA. A total of 466 patients were followed prospectively regarding weight loss, co-morbidities, quality of life and morbidity after primary laparoscopic RYGBP. Overall assessment was done using the bariatric analysis and reporting outcome system (BAROS). Conversion to open surgery was necessary in three patients. The overall early morbidity rate was 17.0 per cent and the rate of major complications was 4.7 per cent. The mortality rate was 0.2 per cent. Major morbidity decreased over time. Excess weight loss of over 50 per cent was maintained for up to 4 years in 71.4 per cent of the morbidly obese and 65.2 per cent of the super-obese patients. Co-morbidities resolved or improved in most patients and quality of life improved. At 3 years, the BAROS score was excellent or very good in 77.1 per cent and good in 22.8 per cent. Late complications leading to reoperation developed in 19 patients (4.1 per cent). These results are satisfactory and comparable to those reported from the USA. Owing to limitations associated with purely restrictive bariatric procedures, laparoscopic RYGBP is likely to become the procedure of choice for treatment of morbid obesity in Europe.

Suter M ，Paroz A ，Calmes JM ，Giusti V ... -  《BRITISH JOURNAL OF SURGERY》

Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience.

Suter M ，Giusti V ，Héraief E ，Zysset F ，Calmes JM ... -  《-》

Reoperative laparoscopic Roux-en-Y gastric bypass: an experience with 49 cases.

Calmes JM ，Giusti V ，Suter M 《OBESITY SURGERY》

Revision of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass.

van Wageningen B ，Berends FJ ，Van Ramshorst B ，Janssen IF ... -  《OBESITY SURGERY》

Laparoscopic gastric bypass: risks vs. benefits up to two years following surgery in super-super obese patients.

Gould JC ，Garren MJ ，Boll V ，Starling JR ... -  《SURGERY》