| Theme | Surgical Indication for Gastrointestinal Diseases in the Era of Endoscopic Surgery | |
|---|---|---|
| Title | Indications for Laparoscopic Bariatric Surgery | |
| Publish Date | 2008/04 | |
| Author | Masayuki Ohta | Department of Surgery I, Oita University, Faculty of Medicine |
| Author | Seiichiro Kai | Department of Surgery I, Oita University, Faculty of Medicine |
| Author | Yuichi Endo | Department of Surgery I, Oita University, Faculty of Medicine |
| Author | Hidetoshi Eguchi | Department of Surgery I, Oita University, Faculty of Medicine |
| Author | Ikuyo Shinohara | Department of Surgery I, Oita University, Faculty of Medicine |
| Author | Seigo Kitano | Department of Surgery I, Oita University, Faculty of Medicine |
| [ Summary ] | Obesity is increasing world wide. Over 140,000 bariatric operations are performed annually. At this time, more than 60 % of bariatric operations are done laparoscopically. The most typical procedures are laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB). The general indications for bariatric surgery are BMI ≥ 35 kg / m2 and related comorbidities, or BMI ≥ 40 kg / m2. Although at this time, a small number of Japanese institutes perform LRYGB, their use should be limited because of problems with early gastric cancer in the remnant distal stomach after LRYGB, which can not be found with normal endoscopy. | |