Perioperative morbidity, mortality and early outcome of the first 360 gastric bypass operations performed in a district hospital.

Background and Aims: We report the results for the first consecutive 360 r oux-en- y gastric bypass (rygb) operations performed in a district hospital in finland. Material and Methods: demographic data, perioperative characteristics, and follow-up data were entered prospectively in the hospital’s database for bariatric patients. Results: We performed 325 primary laparoscopic r oux-en- y gastric bypass ( lrygb ) operations, one open rygb, and 34 revisions. mean bmi before the operations was 47.5 ± 7.8 kg/m 2 (31.5–91.0 kg/m 2 ). t he percentage of patients with type 2 diabetes mellitus (t 2dm ) was high; 52.3% (170 patients). t he mean operative time decreased from 110 minutes during the first 108 operations to 82 minutes for the second 108 operations, and to 74 minutes for the last 109 operations (P < 0.001). Postoperative hospital stay was sig nificantly reduced (P < 0.001) for the last 109 patients compared to the first and second group of patients. o verall morbidity averaged 19.1% (62/325). s evere complications were detected in 15 patients (4.6%). t here was a tendency to more serious complications in the first group of patients. t here was one death (mortality 0.3%). With a follow-up rate of 97% at 3 months t2dm had resolved in 48.2%, and had resolved or improved in a mini