Laparoscopic bariatric surgery for morbid obesity: the first hundred cases in an Irish centre

Ir J Med Sci. 2010 Mar;179(1):17-22. doi: 10.1007/s11845-009-0413-6. Epub 2009 Aug 28.

Abstract

Introduction: This study evaluated outcomes for the first 100 bariatric surgical procedures in a single, publicly funded Irish centre.

Methods: This was a retrospective, chart-based study. Demographics and comorbidities of patients, peri- and post-operative outcomes and health benefits obtained by surgery were assessed.

Results: In total, 87 patients underwent Roux-en-Y gastric bypass procedures, 11 underwent sleeve gastrectomies and 2 underwent duodenal switch. The first 13 operations were done as open procedures. Of the remaining 87 cases, 85 were started laparoscopically. Postoperatively, 2 laparotomies were performed for bleeding and 2 patients developed incarcerated incisional hernias that required repair. The 30-day readmission rate was 6% of which 2 patients required emergency surgery. There was one postoperative mortality from cardio-respiratory failure.

Conclusions: This series audits the introduction of a publicly funded bariatric service in Ireland and reports a high percentage of procedures completed laparoscopically with an acceptable morbidity and mortality.

MeSH terms

  • Adult
  • Aged
  • Anastomosis, Roux-en-Y
  • Female
  • Gastric Bypass
  • Gastroplasty / adverse effects
  • Gastroplasty / methods*
  • Gastroplasty / statistics & numerical data
  • Humans
  • Ireland
  • Laparoscopy / adverse effects
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Postoperative Period
  • Quality of Life
  • Retrospective Studies
  • Treatment Outcome
  • Weight Loss
  • Young Adult