Perioperative outcome of laparoscopic Roux-en-Y gastric bypass: a children's hospital experience

J Pediatr Surg. 2013 Oct;48(10):2092-8. doi: 10.1016/j.jpedsurg.2013.05.019.


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.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Female
  • Follow-Up Studies
  • Gastric Bypass / methods*
  • Hospitals, Pediatric
  • Humans
  • Intraoperative Complications / epidemiology
  • Laparoscopy*
  • Learning Curve
  • Male
  • Obesity, Morbid / surgery*
  • Patient Safety
  • Pediatric Obesity / surgery*
  • Perioperative Care
  • Postoperative Complications / epidemiology
  • Regression Analysis
  • Reoperation
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult