Obesity Surgery

, Volume 19, Issue 1, pp 121–124 | Cite as

Five-Year Follow-up after Laparoscopic Roux-en-Y Gastric and Partial Ileal Bypass for Treatment of Morbid Obesity and Uncontrolled Hyperlipidemia

  • Edward D. Auyang
  • Kenric M. Murayama
  • Alexander P. NagleEmail author
Case Report



Morbid obesity is associated with significant co-morbid illnesses and mortality. Hyperlipidemia is strongly associated with atherosclerosis and cardiovascular disease. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a proven and effective procedure for the treatment of morbid obesity and its related co-morbid illnesses. In a randomized prospective clinical trial, partial ileal bypass showed sustained control of hyperlipidemia and reduced comorbidities. Given risks of surgery, pharmacologic agents are the current primary therapy for hyperlipidemia. However, a morbidly obese patient with medically refractory hyperlipidemia may benefit from a combined laparoscopic Roux-en-Y gastric bypass and partial ileal bypass. We are describing the first case of a totally laparoscopic approach.


A 56-year-old female patient with morbid obesity (BMI 45.2 kg/m2) and medically refractive hyperlipidemia underwent a combined LRYGB and partial ileal bypass in 2002. She was continuously followed for 5 years for weight profile, hyperlipidemia, post-operative complications, and morbidity.


Five-year follow-up of the patient showed sustained excess body weight loss. Her lipid profile has approached normal ranges with less medication. She experienced no comorbidities related to surgery or hyperlipidemia.


Laparoscopic Roux-en-Y gastric bypass and partial ileal bypass may be the best option for the patient who has morbid obesity and medically refractory hyperlipidemia and should be considered for select patients.


Roux-en-Y Laparoscopic gastric bypass Laparoscopic partial ileal bypass Hyperlipidemia POSCH Bariatrics Metabolic surgery 


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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Edward D. Auyang
    • 1
  • Kenric M. Murayama
    • 2
  • Alexander P. Nagle
    • 1
    Email author
  1. 1.Department of SurgeryNorthwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Department of SurgeryUniversity of HawaiiHonoluluUSA

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