Laparoscopic bariatric surgery for morbid obesity: the first hundred cases in an Irish centre
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
This study evaluated outcomes for the first 100 bariatric surgical procedures in a single, publicly funded Irish centre.
This was a retrospective, chart-based study. Demographics and comorbidities of patients, peri- and post-operative outcomes and health benefits obtained by surgery were assessed.
In total, 87 patients underwent Roux-en-Y gastric bypass procedures, 11 underwent sleeve gastrectomies and 2 underwent duodenal switch. The first 13 operations were done as open procedures. Of the remaining 87 cases, 85 were started laparoscopically. Postoperatively, 2 laparotomies were performed for bleeding and 2 patients developed incarcerated incisional hernias that required repair. The 30-day readmission rate was 6% of which 2 patients required emergency surgery. There was one postoperative mortality from cardio-respiratory failure.
This series audits the introduction of a publicly funded bariatric service in Ireland and reports a high percentage of procedures completed laparoscopically with an acceptable morbidity and mortality.
- Ogden CL, Yanovski SZ, Carroll MD et al (2007) The epidemiology of obesity. Gastroenterology 132(6):2087–2102 CrossRef
- Kenchaiah S, Evans JC, Levy D et al (2002) Obesity and the risk of heart failure. N Engl J Med 347(5):305–313 CrossRef
- Sinha R, Fisch G, Teague B et al (2002) Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 346(11):802–810 CrossRef
- Elder KA, Wolfe BM (2007) Bariatric surgery: a review of procedures and outcomes. Gastroenterology 132(6):2253–2271 CrossRef
- Adams KF, Schatzkin A, Harris TB et al (2006) Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med 355(8):763–778 CrossRef
- Guidelines for the delivery of obesity surgery, Royal College of Surgeons in Ireland. http://www.rcsi.ie
- Saunders JK, Ballantyne GH, Belsley S et al (2007) 30-day readmission rates at a high volume bariatric surgery center: laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass. Obes Surg 17(9):1171–1177 CrossRef
- Morino M, Toppino M, Forestieri P et al (2007) Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg 246(6):1002–1007 (discussion 1007-1009) CrossRef
- Flancbaum L, Belsley S (2007) Factors affecting morbidity and mortality of Roux-en-Y gastric bypass for clinically severe obesity: an analysis of 1,000 consecutive open cases by a single surgeon. J Gastrointest Surg 11(4):500–507 CrossRef
- Brizzi P, Angius MF, Carboni A et al (2003) Plasma lipids and lipoprotein changes after biliopancreatic diversion for morbid obesity. Dig Surg 20(1):18–23 CrossRef
- Rubino F, Gagner M (2002) Potential of surgery for curing type 2 diabetes mellitus. Ann Surg 236(5):554–559 CrossRef
- Laparoscopic bariatric surgery for morbid obesity: the first hundred cases in an Irish centre
Irish Journal of Medical Science
Volume 179, Issue 1 , pp 17-22
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Department of Surgery, St Columcille’s Hospital, Loughlinstown, Dublin, Ireland
- 2. Department of Anaesthesia, St Columcille’s Hospital, Loughlinstown, Dublin, Ireland
- 3. Department of Endocrinology, St Columcille’s Hospital, Loughlinstown, Dublin, Ireland