Complications Following Roux-en-Y Gastric Bypass

The following table shows the incidence of complications we have monitored following surgery at Duke.

Where available, the reported incidence from other weight loss surgery centers is listed under the published percentage column.

Postoperative Complications
Complication Number Percent Published Percentage
Conversion to Open from Laparoscopic 57 3.3 NA
Postoperative Heart Attack 2 0.2 NA
Postoperative Heart Attack 8 0.4 NA
Postoperative Bleeding Requiring Blood Transfusions 57 3.3 >1.3
Wound Infection (In 181 Open Procedures) 108 6.2 NA
Return to Operating Room 39 2.2 NA
Positive Findings 23 1.3
Negative Findings 16 0.9
Anastomotic Leak - Requiring Emergent Re-Operation 19 1.1 4.6
Readmissions 167 9.6 >3.0
Anastomotic Strictures Requiring Dilatation After 2 Months 29 1.6 approximately 5.0
Marginal Ulcers at Gastrojejunostomy 99 5.7 1 to 15
Blood Clots in Legs 12 0.7 NA
Blood Clots Going to Lungs (Pulmonary Embolism) 12 0.7 approximately 1.0
Need to Remove Gallbladder Later 106 6.1 >7.0
Inadequate Weight Loss 17 1.0 <5.0
Elective Plastic Surgery 83 4.8 NA
Kidney Stones 54 3.1 NA
Death - Immediately Following Surgery 5 0.29 <5.0
Death - Total 5 Years After Surgery 13 0.74 0.68