• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Gastric Bypass is Safe and Effective for the Super-Super Obese Patient

Vadim Meytes, DO, Grace Chang, Mazen Iskandar, MD, George Ferzli, MD, FACS. NYU Lutheran Medical Center

Background: Obesity in the United States is on the rise with a growing percentage of patients being diagnosed as super-super-obese (SSO) defined as patients with a Body Mass Index (BMI) ≥ 60 kg/m². This patient population is at high risk of mortality due to associated comorbidities. In patients with BMI ≤ 49 kg/m², the Roux en-Y Gastric Bypass (RYGB) is considered the ‘gold standard’ surgical treatment for BMI reduction. However, there are limited studies to extrapolate that into SSO patients and some surgeons advocate for a staged approach. The goal of this study is to analyze the safety and efficacy of RYGB surgery in the SSO population.

Methods: Between September 2004 to April 2015, 78 SSO patients underwent RYGB surgery at NYU Lutheran Medical Center. A retrospective study was performed to analyze reduction of preoperative comorbidities, postoperative outcomes and complications, total percentage of excess weight loss (%EWL) and patient follow up.

Results: Thirty six patients were males and 42 were females with a mean age of 37 ± 10. The mean BMI was 65 ± 4.8 kg/m² and 12 (15.3%) had a BMI ≥ 70 kg/m². The average OR time was 123 ± 50 minutes, estimated blood loss (EBL) was 10 ± 7.9 ml, and the average length of stay was 75 ± 38 hours. None of the patients were converted to open surgery and 66 (83.5%) had no postoperative complications. For patients with complications, all were Clavien-Dindo Grade 1-2 and did not require any invasive interventions. Of the 46 patients who followed up within 6 months, 45 (98.7%) had a decrease in %EWL with an average of 26 ± 14%. Thirty six (78.3%) of these follow up patients had preoperative comorbidities and 15 (41.7%) had significant improvement or even complete resolution post surgery.

Conclusion: In our experience, the RYGB is a safe and effective single stage surgical treatment for SSO patients. These patients start to achieve a significant BMI reduction as well as improvement or resolution of their comorbidities without significantly high complication rate however, longer follow up is needed. Follow up in general within this patient population is a nationwide problem and is something that needs to be more consistent in order to better track the postoperative course of the SSO patient.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78733

Program Number: P577

Presentation Session: Poster (Non CME)

Presentation Type: Poster

42

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons