- Weight loss: 65-70% EWL
- Weight loss plateaus at 1-2 years
- Operative mortality: 0.2%
- Operative morbidity: 5% (pulmonary emboli, anastomotic leak, bleeding, wound infection)
- Long-term complications: Dumping syndrome, stomal stenosis, marginal ulcers, staple line disruption and internal hernias
Life-long Vitamin B12, iron, folate, and calcium supplementaion
Ventral hernia formation is more prevalent after open gastric bypass
Buchwald, J Am Coll Surg 2005
|
|
|
Advantages |
Disadvantages |
- Gold
standard operation in the U.S.
- Dumping
syndrome
- Less
malabsorption
than BPD/DS
-
Rapid weight loss
|
-
Technically more complicated than restrictive operations
-
Need for permanent vitamin and mineral vitamin supplementation
|