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28 Outcomes After Laparoscopic Gastric Bypass

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Minimally Invasive Bariatric Surgery

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Abstract

Roux-en-Y gastric bypass (RYGB) has been performed for 45 years and as such has a long track record by which to judge its efficacy and safety. This duration of performance of the operation has confirmed its ability to produce durable and long-standing weight loss and improvement of medical problems (NIH conference, Ann Int Med. 115:956–961, 1991). While the operation has evolved to some extent, and there has been and remains some variability as to details of how it is performed, overall it is evident that the operation has produced no adverse long-term effects, has maintained its track record of effectiveness with long-term follow-up, and has in fact yielded improved outcomes with increasing experience in its performance over time. The single largest change in the method of performing the operation, and also the resultant outcomes, has been the use of a laparoscopic approach. The first laparoscopic RYGB (LRYGB) was performed 20 years ago, but the approach did not gain any significant popularity until approximately 15 years ago. For the last 10 years, the use of laparoscopy has been more prevalent than open surgery, to the point where now over 90 % of gastric bypass procedures are performed using a laparoscopic approach. This has been one factor which has contributed to the improvements in outcomes for the procedure (Ecinosa et al. Med Care 47(5):531–535, 2009).

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Authors and Affiliations

  1. Department of Surgery, University of Virginia Health Systems, 800679, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer M.D.

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  1. Bruce D. Schirmer M.D.
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Correspondence to Bruce D. Schirmer M.D. .

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Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Stacy A. Brethauer

  2. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Philip R. Schauer

  3. Department of Surgery, Health Sciences Center, University of Virginia Health System, Charlottesville, Virginia, USA

    Bruce D. Schirmer

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Schirmer, B.D. (2015). 28 Outcomes After Laparoscopic Gastric Bypass. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_28

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_28

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