Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass: A children's hospital experience

Go Miyano; Todd M. Jenkins; Stavra A. Xanthakos; Victor F. Garcia; Thomas H. Inge

doi:10.1016/j.jpedsurg.2013.05.019

Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass: A children's hospital experience

Go Miyano, Todd M. Jenkins, Stavra A. Xanthakos, Victor F. Garcia, Thomas H. Inge^*

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Background/Purpose To evaluate the perioperative safety of laparoscopic Roux-en-Y gastric bypass (LRYGB) in a freestanding children's hospital setting. Patients and Methods Perioperative (< 90 days) clinical complications of 77 consecutive patients (mean age 16.8 ± 2.1 years: mean BMI 59.4 kg/m ², 68% female), who underwent LRYGB at Cincinnati Children's Hospital from 2002 to 2007 were examined, using standardized data collection forms that were created specifically for use in this study. Results No mortality or conversion to open surgery was observed. Intraoperative complications were uncommon (3%). No anesthetic complications or transfusion requirements were observed. Median hospital stay was 3 days. Twenty-two percent of subjects had a complication from discharge to 30 days, while 13% experienced a complication between 31 and 90 days. The common types of postoperative complications included gastrojejunal anastomotic stricture (17%), leak (7%), dehydration (7%), and small bowel obstruction (SBO; 5%). Reoperation was required in 9 subjects. Operating time significantly decreased as the number of cases performed increased. Conclusions LRYGB in this case series of adolescents was associated with a low rate of intraoperative complications, with an increased rate over the ensuing 90 days. These events can be successfully managed, even in super obese adolescents.

Original language	English (US)
Pages (from-to)	2092-2098
Number of pages	7
Journal	Journal of pediatric surgery
Volume	48
Issue number	10
DOIs	https://doi.org/10.1016/j.jpedsurg.2013.05.019
State	Published - Oct 2013

Funding

This publication was supported in part by NIH grant 5R03DK68228 (THI), an Institutional Clinical and Translational Science Award , NIH/NCRR Grant Number 5UL1RR026314-02 , and an investigator initiated grant from Ethicon Endosurgery . Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or Ethicon Endosurgery. The authors would like to acknowledge the superb work of the following clinical research coordinators and data management staff in the conduct of this study: Kimberly Wilson, Kimberly Gamm, Cynthia Spikes, April Carr, Renee Jeffreys, Rachel Akers, and Jennifer Andringa. The authors would also like to express gratitude to Dr. Kelvin Higa who proctored the first 4 operative procedures.

Keywords

Adolescent
Complication
Laparoscopy
Roux-en-Y gastric bypass

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health

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10.1016/j.jpedsurg.2013.05.019

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title = "Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass: A children's hospital experience",

abstract = "Background/Purpose To evaluate the perioperative safety of laparoscopic Roux-en-Y gastric bypass (LRYGB) in a freestanding children's hospital setting. Patients and Methods Perioperative (< 90 days) clinical complications of 77 consecutive patients (mean age 16.8 ± 2.1 years: mean BMI 59.4 kg/m 2, 68% female), who underwent LRYGB at Cincinnati Children's Hospital from 2002 to 2007 were examined, using standardized data collection forms that were created specifically for use in this study. Results No mortality or conversion to open surgery was observed. Intraoperative complications were uncommon (3%). No anesthetic complications or transfusion requirements were observed. Median hospital stay was 3 days. Twenty-two percent of subjects had a complication from discharge to 30 days, while 13% experienced a complication between 31 and 90 days. The common types of postoperative complications included gastrojejunal anastomotic stricture (17%), leak (7%), dehydration (7%), and small bowel obstruction (SBO; 5%). Reoperation was required in 9 subjects. Operating time significantly decreased as the number of cases performed increased. Conclusions LRYGB in this case series of adolescents was associated with a low rate of intraoperative complications, with an increased rate over the ensuing 90 days. These events can be successfully managed, even in super obese adolescents.",

keywords = "Adolescent, Complication, Laparoscopy, Roux-en-Y gastric bypass",

author = "Go Miyano and Jenkins, {Todd M.} and Xanthakos, {Stavra A.} and Garcia, {Victor F.} and Inge, {Thomas H.}",

note = "Funding Information: This publication was supported in part by NIH grant 5R03DK68228 (THI), an Institutional Clinical and Translational Science Award , NIH/NCRR Grant Number 5UL1RR026314-02 , and an investigator initiated grant from Ethicon Endosurgery . Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or Ethicon Endosurgery. The authors would like to acknowledge the superb work of the following clinical research coordinators and data management staff in the conduct of this study: Kimberly Wilson, Kimberly Gamm, Cynthia Spikes, April Carr, Renee Jeffreys, Rachel Akers, and Jennifer Andringa. The authors would also like to express gratitude to Dr. Kelvin Higa who proctored the first 4 operative procedures. ",

year = "2013",

month = oct,

doi = "10.1016/j.jpedsurg.2013.05.019",

language = "English (US)",

volume = "48",

pages = "2092--2098",

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T1 - Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass

T2 - A children's hospital experience

AU - Miyano, Go

AU - Jenkins, Todd M.

AU - Xanthakos, Stavra A.

AU - Garcia, Victor F.

AU - Inge, Thomas H.

N1 - Funding Information: This publication was supported in part by NIH grant 5R03DK68228 (THI), an Institutional Clinical and Translational Science Award , NIH/NCRR Grant Number 5UL1RR026314-02 , and an investigator initiated grant from Ethicon Endosurgery . Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or Ethicon Endosurgery. The authors would like to acknowledge the superb work of the following clinical research coordinators and data management staff in the conduct of this study: Kimberly Wilson, Kimberly Gamm, Cynthia Spikes, April Carr, Renee Jeffreys, Rachel Akers, and Jennifer Andringa. The authors would also like to express gratitude to Dr. Kelvin Higa who proctored the first 4 operative procedures.

PY - 2013/10

Y1 - 2013/10

N2 - Background/Purpose To evaluate the perioperative safety of laparoscopic Roux-en-Y gastric bypass (LRYGB) in a freestanding children's hospital setting. Patients and Methods Perioperative (< 90 days) clinical complications of 77 consecutive patients (mean age 16.8 ± 2.1 years: mean BMI 59.4 kg/m 2, 68% female), who underwent LRYGB at Cincinnati Children's Hospital from 2002 to 2007 were examined, using standardized data collection forms that were created specifically for use in this study. Results No mortality or conversion to open surgery was observed. Intraoperative complications were uncommon (3%). No anesthetic complications or transfusion requirements were observed. Median hospital stay was 3 days. Twenty-two percent of subjects had a complication from discharge to 30 days, while 13% experienced a complication between 31 and 90 days. The common types of postoperative complications included gastrojejunal anastomotic stricture (17%), leak (7%), dehydration (7%), and small bowel obstruction (SBO; 5%). Reoperation was required in 9 subjects. Operating time significantly decreased as the number of cases performed increased. Conclusions LRYGB in this case series of adolescents was associated with a low rate of intraoperative complications, with an increased rate over the ensuing 90 days. These events can be successfully managed, even in super obese adolescents.

AB - Background/Purpose To evaluate the perioperative safety of laparoscopic Roux-en-Y gastric bypass (LRYGB) in a freestanding children's hospital setting. Patients and Methods Perioperative (< 90 days) clinical complications of 77 consecutive patients (mean age 16.8 ± 2.1 years: mean BMI 59.4 kg/m 2, 68% female), who underwent LRYGB at Cincinnati Children's Hospital from 2002 to 2007 were examined, using standardized data collection forms that were created specifically for use in this study. Results No mortality or conversion to open surgery was observed. Intraoperative complications were uncommon (3%). No anesthetic complications or transfusion requirements were observed. Median hospital stay was 3 days. Twenty-two percent of subjects had a complication from discharge to 30 days, while 13% experienced a complication between 31 and 90 days. The common types of postoperative complications included gastrojejunal anastomotic stricture (17%), leak (7%), dehydration (7%), and small bowel obstruction (SBO; 5%). Reoperation was required in 9 subjects. Operating time significantly decreased as the number of cases performed increased. Conclusions LRYGB in this case series of adolescents was associated with a low rate of intraoperative complications, with an increased rate over the ensuing 90 days. These events can be successfully managed, even in super obese adolescents.

KW - Adolescent

KW - Complication

KW - Laparoscopy

KW - Roux-en-Y gastric bypass

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Perioperative outcome of Laparoscopic Roux-en-Y gastric bypass: A children's hospital experience

Abstract

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Keywords

ASJC Scopus subject areas

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