Obesity Surgery

, Volume 18, Issue 5, pp 508–512

Preoperative Weight Loss Decreases the Operative Time of Gastric Bypass at a Veterans Administration Hospital

  • Sergio Huerta
  • Serag Dredar
  • Elizabeth Hayden
  • Ali A. Siddiqui
  • Thomas Anthony
  • Massimo Asolati
  • J. Esteban Varela
  • Edward H. Livingston
Research Article

DOI: 10.1007/s11695-007-9334-5

Cite this article as:
Huerta, S., Dredar, S., Hayden, E. et al. OBES SURG (2008) 18: 508. doi:10.1007/s11695-007-9334-5

Abstract

Background

This study assessed whether preoperative weight loss resulted in favorable outcomes after open Roux-en Y gastric bypass (RYGB).

Methods

A retrospective review of all patients who underwent RYGB at the DVAMC was undertaken. Patients were divided into: patients who did not lose weight within 3 months preoperatively (n = 25) and group II, those who did (n = 15).

Results

Both groups had similar demographics, body mass index, comorbid conditions, and American Society of Anesthesiology class. Group II lost 28.2 ± 6.5 lbs (8.3% of body weight) within 3 months before RYGB. Operative time was longer in group I compared to group II (180.0 ± 0.0 vs 161.0 ± 0.0 min; p = 0.05). Both groups had the same rate of postoperative complications and the same long-term weight loss at a 2-year follow-up (n = 6 both groups).

Conclusions

An 8% reduction of body weight is associated with a decrease in operative time. These preliminary data suggest that preoperative weight loss results in a technically less challenging operation in the super-obese patient.

Keywords

Staged-operations RYGB Super-obesity Weight reduction surgery Postoperative complications 

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Sergio Huerta
    • 1
  • Serag Dredar
    • 1
  • Elizabeth Hayden
    • 1
  • Ali A. Siddiqui
    • 1
  • Thomas Anthony
    • 1
  • Massimo Asolati
    • 1
  • J. Esteban Varela
    • 1
  • Edward H. Livingston
    • 1
  1. 1.Departments of Surgery and GastroenterologyDallas VA Medical CenterDallasUSA