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Technical and Practical Considerations Involved in Operations on Patients Weighing More Than 270 kg

Technical and Practical Considerations Involved in Operations on Patients Weighing More Than 270 kg Abstract Care of the patient with superobesity requires special precautions and appropriate equipment. Recently, we performed bariatric procedures (modified very-long-limb Rouxen-Y gastric bypass) on patients weighing 355 kg and 377 kg. These procedures required preoperative preparation concerning safe means of transport of the patient, techniques of anesthesia and intraoperative exposure, provisions for postoperative recovery, and measures to assure patient comfort and hygiene postoperatively. In addition to specially designed bariatric procedures for the superobese, specialized equipment is needed to protect the health of the patient and the staff. All health care providers and especially acute care centers must have preconceived protocols to treat the superobese patient. In addition, specialized equipment is necessary to allow safe transport and support of these patients. (Arch Surg. 1995:130:102-105) References 1. Smith CD, Herkes SB, Behrns Ke, Fairbanks VF, Kelly KA, Sarr MG. Gastric acid secretion and vitamin B12 absorption after vertical Roux-en-Y gastric bypass for morbid obesity . Ann Surg . 1993;218:91-96.Crossref 2. Foil MB, Collier MS, MacDonald KG, Pories WJ. Availability and adequacy of diagnostic and therapeutic equipment for the morbidly obese patient in an acute care center . Obesity Surg . 1993;3:153-156.Crossref 3. Mason DS, Sapala A, Sapala JE, Sapala JA. Roux-en-Y gastric bypass: surgical treatment of morbid obesity . AORN J . 1993;58:1113-1135. 4. Mason EE. Vertical banded gastroplasty for obesity . Arch Surg . 1982;117:701-706.Crossref 5. Brolin RE, Kenler HA, Gorman JH, Cody RP. Long-limb gastric bypass in the superobese: a prospective randomized study . Ann Surg . 1992;215:387-395.Crossref 6. Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Bilio-pancreatic bypass for obesity, II: initial experience in man . Br J Surg . 1979;66:618-620.Crossref 7. Grant JP. Duke procedure for super obesity: preliminary report with 3.5 year follow up . Surgery . 1994;155:718-726. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Technical and Practical Considerations Involved in Operations on Patients Weighing More Than 270 kg

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1995.01430010104022
Publisher site
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Abstract

Abstract Care of the patient with superobesity requires special precautions and appropriate equipment. Recently, we performed bariatric procedures (modified very-long-limb Rouxen-Y gastric bypass) on patients weighing 355 kg and 377 kg. These procedures required preoperative preparation concerning safe means of transport of the patient, techniques of anesthesia and intraoperative exposure, provisions for postoperative recovery, and measures to assure patient comfort and hygiene postoperatively. In addition to specially designed bariatric procedures for the superobese, specialized equipment is needed to protect the health of the patient and the staff. All health care providers and especially acute care centers must have preconceived protocols to treat the superobese patient. In addition, specialized equipment is necessary to allow safe transport and support of these patients. (Arch Surg. 1995:130:102-105) References 1. Smith CD, Herkes SB, Behrns Ke, Fairbanks VF, Kelly KA, Sarr MG. Gastric acid secretion and vitamin B12 absorption after vertical Roux-en-Y gastric bypass for morbid obesity . Ann Surg . 1993;218:91-96.Crossref 2. Foil MB, Collier MS, MacDonald KG, Pories WJ. Availability and adequacy of diagnostic and therapeutic equipment for the morbidly obese patient in an acute care center . Obesity Surg . 1993;3:153-156.Crossref 3. Mason DS, Sapala A, Sapala JE, Sapala JA. Roux-en-Y gastric bypass: surgical treatment of morbid obesity . AORN J . 1993;58:1113-1135. 4. Mason EE. Vertical banded gastroplasty for obesity . Arch Surg . 1982;117:701-706.Crossref 5. Brolin RE, Kenler HA, Gorman JH, Cody RP. Long-limb gastric bypass in the superobese: a prospective randomized study . Ann Surg . 1992;215:387-395.Crossref 6. Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Bilio-pancreatic bypass for obesity, II: initial experience in man . Br J Surg . 1979;66:618-620.Crossref 7. Grant JP. Duke procedure for super obesity: preliminary report with 3.5 year follow up . Surgery . 1994;155:718-726.

Journal

Archives of Surgery – American Medical Association

Published: Jan 1, 1995

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