Laparoscopic Roux-en-Y Gastric Bypass: Outcomes

  • Tomasz Rogula
  • Paul A. Thodiyil
  • Stacy A. Brethauer
  • Philip R. Schauer


Obesity is a rapidly growing health problem that contributes to numerous life-threatening or disabling problems including type 2 diabetes mellitus, hyperlipidemia, degenerative joint disease, and obstructive sleep apnea. Significant weight reduction in the morbidly obese patient improves or reverses associated illness and benefits the patient’s general well-being. The resolution of comorbidities following surgically induced weight loss is well established. Type 2 diabetes mellitus resolves in 82% to 98.8% of patients, hypertension in 52% to 91.5%, gastroesophageal reflux in 72%-97.8%, hypercholesterolemia in 63% to 97%, sleep apnea in 74% to 97.8%, stress urinary incontinence in 44% to 97%, arthritis in 41% to 90.3%, and migraine headache in 57% (1–5). Superior outcomes are expected with increasing experience, perfection of operative technique, and refinements in postoperative care.


Obstructive Sleep Apnea Bariatric Surgery Gastric Bypass Morbid Obesity Stress Urinary Incontinence 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Tomasz Rogula
    • 1
  • Paul A. Thodiyil
    • 2
  • Stacy A. Brethauer
    • 3
  • Philip R. Schauer
    • 4
    • 5
  1. 1.Bariatric and Metabolic Institute, Department of General SurgeryCleveland ClinicClevelandUSA
  2. 2.Department of SurgeryThe Cleveland Clinic FoundationClevelandUSA
  3. 3.Advanced Laparoscopic and Bariatric Surgery, Department of General SurgeryThe Cleveland Clinic FoundationClevelandUSA
  4. 4.Lerner College of MedicineUSA
  5. 5.Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic InstituteThe Cleveland Clinic FoundationClevelandUSA

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