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Gender Differences in Early Outcomes Following Hand-Assisted Laparoscopic Roux-en-Y Gastric Bypass Surgery

Gender Differences in Bariatric Surgery

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Abstract

Background

Male gender has been associated with a higher morbidity and mortality rate after bariatric surgery including laparoscopic and open procedures. This study focused on hand-assisted laparoscopic Roux-en-Y gastric bypass and morbidity and mortality among genders.

Methods

Hand-assisted laparoscopic Roux-en-Y gastric bypass operations (N = 319) were evaluated from October 2003 to March 2006. Comparison between males (N = 54) and females (N = 265) were conducted using t test or Fishers exact test and chi-square analysis.

Results

Patients’ average age was 42.3 ± 10.3 and the average body mass index (BMI) was 49.2 ± 7.9. There was no significant difference between males and females in age or BMI. Males had a significantly greater average weight than females (p < 0.001) and were significantly more likely to experience sleep apnea (p = 0.006) and have heart disease (p = 0.017). For operative risk factors, males had a significantly longer anesthesia time (p = 0.003), operative time (p = 0.027), and length of roux limb (p = 0.038). At 6 and 12 months postsurgery, there was no significant difference between males and females with complications. Although BMI did not differ significantly, males continued to weigh significantly more than females and lost significantly more pounds than did females at both 6 and 12 months postoperation.

Conclusion

Given their larger size and tendency to accumulate fat in the abdominal compartment that increases the technical difficulty of the procedure, males are historically associated with a higher morbidity and mortality following bariatric surgery. Based on the current study, however, there is no difference in outcome among genders following hand-assisted laparoscopic Roux-en-Y gastric bypass.

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Abbreviations

BMI:

body mass index

CHF:

congestive heart failure

DVT:

deep vein thrombosis

GI:

gastrointestinal bleed

GJ:

gastrojejunostomy

HALRGBP:

hand-assisted laparoscopic Roux-en-Y gastric bypass

ICU:

intensive care unit

JJ:

jejunojejunostomy

PE:

pulmonary embolism

RYBGP:

Roux-en-Y gastric bypass

References

  1. Livingston EH. Complications of bariatric surgery. Surg Clin North Am 2005;853–68.

  2. Mazzeo SE, Saunders R, Mitchell KS. Gender and binge eating among bariatric surgery candidates. Eat Behav 2006;7(1):47–52.

    Article  PubMed  Google Scholar 

  3. Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass. Ann Surg 2002;236(5):576–82.

    Article  PubMed  Google Scholar 

  4. Poulose BK, Griffin MR, Moore DE, et al. Risk factors for post-operative mortality in bariatric surgery. J Surg Res 2005;127(1):1–7.

    Article  PubMed  Google Scholar 

  5. Zhang W, Mason EE, Renquist KE, et al. Factors influencing survival following surgical treatment of obesity. Obes Surg 2005;15(1):43–50.

    Article  PubMed  CAS  Google Scholar 

  6. Helling TS, Willoughby TL, Maxfield DM, Ryan P. Determinants of the need for intensive care and prolonged mechanical ventilation in patients undergoing bariatric surgery. Obes Surg 2004;14(8):1036–41.

    Article  PubMed  Google Scholar 

  7. Fernandez AZ, DeMaria EJ, Tichansky DS, et al. Experience with over 3,000 open and laparoscopic bariatric procedures: multivariate analysis of factors related to leak and resultant mortality. Surg Endosc 2004;18(2):193–7.

    Article  PubMed  Google Scholar 

  8. Hassan M, Kerlakian G, Curry T, Engel A, Bollmer C. Comparing outcomes of hand-assisted versus total laparoscopic gastric bypass. Surg Obes Relat Dis 2007 March 30 [EPub ahead of print].

  9. Gould J, Needleman B, Ellison C, Muscarella P, Schneider C, Melvin W. Evolution of minimally invasive bariatric surgery. Surgery 2002;132:565–72.

    Article  PubMed  Google Scholar 

  10. Sturm R. The effects of obesity, smoking, and drinking on medical problems and costs: obesity outranks both smoking and drinking in its deleterious effects on health costs. Health Aff 2002;21:245–53.

    Article  Google Scholar 

  11. DeMaria EJ, Jamal MK. Surgical options for obesity. Gastroenterol Clin North Am 2005;34:127–42.

    Article  PubMed  Google Scholar 

  12. Sugerman HJ. The epidemic of severe obesity: the value of surgical treatment. Mayo Clin Proc 2000;75:669–72.

    PubMed  CAS  Google Scholar 

  13. Steinbrook R. Surgery for severe obesity. N Engl J Med 2004;350(11):1075–9.

    Article  PubMed  CAS  Google Scholar 

  14. Felix EL, Swartz DE. Conversion of laparoscopic roux-en-y gastric bypass. Am J Surg 2003;186:648–51.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Good Samaritan Hospital, 375 Dixmyth Ave., Cincinnati, OH, 45220, USA

    Kevin Tymitz

  2. Department of Surgery, Good Samaritan Hospital, Cincinnati, OH, USA

    George Kerlakian & Cyndy Bollmer

  3. E. Kenneth Hatton, MD, Institute for Research and Education, Cincinnati, OH, USA

    Amy Engel

Authors
  1. Kevin Tymitz
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  2. George Kerlakian
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  3. Amy Engel
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  4. Cyndy Bollmer
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Correspondence to Kevin Tymitz.

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Tymitz, K., Kerlakian, G., Engel, A. et al. Gender Differences in Early Outcomes Following Hand-Assisted Laparoscopic Roux-en-Y Gastric Bypass Surgery. OBES SURG 17, 1588–1591 (2007). https://doi.org/10.1007/s11695-007-9296-7

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  • DOI: https://doi.org/10.1007/s11695-007-9296-7

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