Diabetes resolved in 52 of 61 (85%) patients with the remaining 9 patients having excellent control with decreased medications (Table 1). Most patients’ diabetes resolved within the first month following surgery. Hypertension resolved in 70 of the 87 (80%) patients, and control became relatively easier in the remaining 17 (Table 1). The majority selleck products of patients had resolution of hypertension within 3 months. Sleep apnea improved in 128 of 138 (93%) patients (Table 1). All fifteen patients using continuous positive airway pressure (CPAP) machines in the preoperative period were able to discontinue its use within 1 month. Two patients with active venous ulcers had them healed in 4 months and the varicosity related edema improved after bariatric surgery.

Significant improvement in the comorbidities was noted even for those patients whose weight loss was not adequate. Average length of stay for all patients ranged from 20 hours to 10 days (mean 1.9 days) with 92% patients discharged within 48 hours after surgery. Length of procedure ranged from 46 minutes to 210 minutes (mean 75 minutes). Table 1 Resolution of comorbidities after bariatric procedures in a low-volume center. Twelve patients underwent simultaneous cholecystectomy and 8 underwent subsequent cholecystectomy. Prophylactic ursodiol was used in 24 patients. Unexpected findings at surgery included malrotation in 2 patients and jejunal diverticulosis in 4 patients. Twelve patients had severe adhesions; these were managed prior to doing the bariatric procedure. Blood transfusions were required in 7 patients (Table 2).

Three patients had postoperative bleeding on day 1, two managed with relaparoscopy and control of the staple line with clips. The third patient was managed conservatively and settled. Four patients developed upper GI bleeding at the gastrojejunostomy site and these occurred at day 2, week 6, 7, and after 1 year. All were managed with endoscopy and cautery control. Table 2 Complications after Roux-en-Y gastric bypass, gastric banding, and sleeve gastrectomy. Reoperations were performed in 7 patients (2 described above). One patient was taken back on day-2 for laparoscopy for persistent tachycardia to rule out anastomotic leak (negative). Two patients developed intestinal obstruction due to adhesions (one due to previous myomectomy and the other at the proximal Roux limb) (Table 2).

Both were managed laparoscopically. Another patient developed adhesions and was managed by another surgeon with laparotomy and lysis of a single band at the jejunojejunostomy. The last patient developed a GI bleed on day 1 which caused clot obstruction at the jejunostomy and a very small leak of the remnant stomach’s staple line. A laparotomy was done Anacetrapib to correct this; the patient then developed an incisional hernia which was repaired 2 years later during the abdominoplasty. There was no mortality in this series.