Gastric Bypass Q&A
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Open Gastric Bypass
asked 1 year ago by anon
Latest answer by Shawn Garber, MD
Question viewed 99 times
Tags: open
Do doctors still perform open gastric bypass surgery? I have a high BMI (70) and I have been reading that laproscopic might not be possible due to this.
3 answers to Open Gastric Bypass
+2
Open Gastric Bypass - is it still perfomed?
Most cases can be performed via the laparoscope even with a BMI of 70. Converting to an open technique adds significant morbidity to the patient and surgeons try to avoid this in most situations unless conversion is necessary. You may be a candidate for the DS procedure rather than a gastric bypass.
Consult with your bariatric surgeon, unless there are major contra-indications a BMI of 70 can be performed laparoscopically.
+1
Gastric bypass with bmi of 70
Gastric bypass surgery should only be performed laparoscopically by experienced bariatric surgeons. The risks of surgery increase with a BMI more than 60. We usually recommend putting patients on a liquid protein diet prior to surgery to get their BMI closer of 60 and lower the risks of surgery. All bariatric surgeons including sleeve gastrectomy have higher risks is high BMi patients. It is usually pretty simple for patient to lose weight on a liquid protein diet...
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+1
Open Gastric Bypass or Laparoscopic Sleeve Gastrectomy
Bariatric surgeons still perform open surgery, however it is extremely rare. Open bariatric surgery is associated with multiple complications such as wound infections and incisional hernias. There is a much better option in high BMI patients than an open gastric bypass. A BMI of 60 or above is categorized as super morbid obesity. A laparoscopic Roux-en-Y gastric bypass in these patients is technically very difficult due to the size of the abdominal wall, the size of the intra-abdominal...
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David Buchin, MD
Long Island Bariatric Surgeon
Long Island Bariatric Surgeon