Complications of Roux-en-Y Gastric Bypass
L.V. Sima, A.C. Sima, R.G. Dan, G.M. Breaza, O.M. CretuOriginal article, no. 2, 2013
Introduction: Bariatric surgery is a method of treating morbid
obesity, which has been raising more and more interest in the
past years. Among all types of intervention, the most
frequently used is Roux-en-Y gastric bypass, an intervention
both restrictive and malabsorptive, which leads to best results
in weight loss. In Romania, bariatric surgery, and especially
Roux-en-Y gastric bypass, is not widely practiced due to poor
addressability of patients, both due to lack of information,
and to poor recommendation from general practitioners and
specialists in metabolic diseases.
Material and Method: The study group includes 14 patients
aged between 18 and 65 years old, with BMI above 40 kg/m2.
The study aims to present the complications that occurred in
this group of patients in which we performed Roux-en-Y
gastric bypass in the Surgery Department of the Emergency
City Hospital Timiæoara. The surgery was performed by xifoumbilical
laparotomy technique. Subsequently, patients were
followed postoperatively at 1 month, and then every 3 months,
up to 2 years.
Results: The only complications we found were wound
infections (7/14 – 50%) and incisional hernias (5/14 – 35.71%).
Conclusions: We only found in our group only complications
related to the postoperative wound that can be minimized by
modifying the suturing technique of the abdominal wall.
Gastric bypass should be performed despite all incriminated
risks, providing a better lifestyle to obese patients.