{"id":"https://openalex.org/W92053651","doi":"https://doi.org/10.1001/archsurg.138.9.957","title":"Complications After Laparoscopic Gastric Bypass: A Review of 3464 Cases","display_name":"Complications After Laparoscopic Gastric Bypass: A Review of 3464 Cases","publication_year":2003,"publication_date":"2003-09-01","ids":{"openalex":"https://openalex.org/W92053651","doi":"https://doi.org/10.1001/archsurg.138.9.957","mag":"92053651","pmid":"https://pubmed.ncbi.nlm.nih.gov/12963651"},"language":"en","primary_location":{"id":"doi:10.1001/archsurg.138.9.957","doi":"https://doi.org/10.1001/archsurg.138.9.957","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archsurg.138.9.957","pdf_url":null,"source":{"id":"https://openalex.org/S61251237","display_name":"Archives of Surgery","issn_l":"0004-0010","issn":["0004-0010","0272-5533","1538-3644","2376-3590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079891176","display_name":"Yale D. Podnos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210096636","display_name":"University of California, Irvine Medical Center","ror":"https://ror.org/00cm8nm15","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210096636","https://openalex.org/I4210137750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yale D. Podnos","raw_affiliation_strings":["Department of Surgery, University of California-Irvine Medical Center, Orange, 92868, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of California-Irvine Medical Center, Orange, 92868, USA","institution_ids":["https://openalex.org/I4210096636"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073285867","display_name":"Juan Carlos Jim\u00e9nez","orcid":"https://orcid.org/0000-0001-6014-0505","observed_orcids":["https://orcid.org/0000-0001-6014-0505"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Juan C Jimenez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161535330","display_name":"Samuel E Wilson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samuel E Wilson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161538309","display_name":"C Melinda Stevens","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C Melinda Stevens","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5161675395","display_name":"Ninh T Nguyen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ninh T Nguyen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":43.3976,"has_fulltext":false,"cited_by_count":725,"citation_normalized_percentile":{"value":0.9996553,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"138","issue":"9","first_page":"957","last_page":"957"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12173","display_name":"Body Contouring and Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/laparoscopic-roux-en-y-gastric-bypass","display_name":"laparoscopic Roux-en-Y gastric bypass","score":0.9729999899864197},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.953000009059906},{"id":"https://openalex.org/keywords/morbid-obesity","display_name":"morbid obesity","score":0.8579999804496765},{"id":"https://openalex.org/keywords/bariatric-surgery","display_name":"bariatric surgery","score":0.9539999961853027},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.9620000123977661},{"id":"https://openalex.org/keywords/incisional-hernia","display_name":"incisional hernia","score":0.9919999837875366},{"id":"https://openalex.org/keywords/intestinal-obstruction","display_name":"intestinal obstruction","score":0.9490000009536743},{"id":"https://openalex.org/keywords/gastrointestinal-bleeding","display_name":"gastrointestinal bleeding","score":0.9850000143051147},{"id":"https://openalex.org/keywords/stomal-stenosis","display_name":"stomal stenosis","score":0.9869999885559082},{"id":"https://openalex.org/keywords/learning-curve","display_name":"learning curve","score":0.6959999799728394}],"concepts":[{"id":"https://openalex.org/C3019402062","wikidata":"https://www.wikidata.org/wiki/Q1813603","display_name":"Gastric bypass","level":4,"score":0.6374994516372681},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.623559296131134},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.38695845007896423},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.24240544438362122},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.1661655306816101},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.13046619296073914}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000713","descriptor_name":"Anastomosis, Roux-en-Y","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007415","descriptor_name":"Intestinal Obstruction","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009767","descriptor_name":"Obesity, Morbid","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D010535","descriptor_name":"Laparoscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011655","descriptor_name":"Pulmonary Embolism","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D013530","descriptor_name":"Surgical Wound Infection","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D015390","descriptor_name":"Gastric Bypass","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D015390","descriptor_name":"Gastric Bypass","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D015992","descriptor_name":"Body Mass Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/archsurg.138.9.957","doi":"https://doi.org/10.1001/archsurg.138.9.957","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archsurg.138.9.957","pdf_url":null,"source":{"id":"https://openalex.org/S61251237","display_name":"Archives of Surgery","issn_l":"0004-0010","issn":["0004-0010","0272-5533","1538-3644","2376-3590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Surgery","raw_type":"journal-article"},{"id":"pmid:12963651","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12963651","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of surgery (Chicago, Ill. : 1960)","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W256651770","https://openalex.org/W1966070604","https://openalex.org/W1975874686","https://openalex.org/W1977394328","https://openalex.org/W1982332483","https://openalex.org/W2005605028","https://openalex.org/W2009063314","https://openalex.org/W2020400547","https://openalex.org/W2029091236","https://openalex.org/W2030063698","https://openalex.org/W2036102687","https://openalex.org/W2044148587","https://openalex.org/W2048258812","https://openalex.org/W2053035521","https://openalex.org/W2055042421","https://openalex.org/W2055371393","https://openalex.org/W2063180151","https://openalex.org/W2064655425","https://openalex.org/W2069364837","https://openalex.org/W2089177731","https://openalex.org/W2119880306","https://openalex.org/W2156115525","https://openalex.org/W2412648626","https://openalex.org/W2520101615"],"related_works":["https://openalex.org/W2127147228","https://openalex.org/W45013068","https://openalex.org/W1966070604","https://openalex.org/W2417899809","https://openalex.org/W2110727531","https://openalex.org/W2400850951","https://openalex.org/W2077252739","https://openalex.org/W2101101935","https://openalex.org/W2065874088","https://openalex.org/W2097483224"],"abstract_inverted_index":{"HYPOTHESIS:":[0],"The":[1,22,110,151,173,272],"type":[2,44,111,273],"and":[3,45,51,74,90,112,125,141,184,210,234,246,253,274,281],"frequency":[4,46,113,226,243,263,275],"of":[5,18,24,47,114,153,176,205,227,244,264,276,298,307,310],"complications":[6,48,116,278,287,304],"after":[7,49,279],"open":[8,52,83,143,171,187,215,282],"Roux-en-Y":[9,103],"gastric":[10,75],"bypass":[11],"(GBP)":[12],"have":[13],"changed":[14],"with":[15,85,101,138,146,167,214,221,289],"the":[16,30,37,43,67,93,154,189,203,225,242,262,295,308,311],"development":[17],"laparoscopic":[19,25,50,81,135,161,182,217,280,290],"technique.":[20],"BACKGROUND:":[21],"number":[23],"GBP":[26,84,104,136,144,162,183,218,283],"cases":[27,105],"performed":[28],"in":[29,92,199,207,224,241,261],"United":[31],"States":[32],"has":[33],"increased":[34],"dramatically":[35],"during":[36],"past":[38],"several":[39],"years.":[40],"We":[41,55,77,98,122],"compared":[42,166],"GBP.":[53,172],"METHODS:":[54],"searched":[56],"MEDLINE":[57],"from":[58,119],"January":[59],"1,":[60],"1994,":[61],"through":[62],"December":[63],"31,":[64],"2002,":[65],"using":[66],"keywords":[68],"morbid":[69],"obesity,":[70],"laparoscopy,":[71],"bariatric":[72,108],"surgery,":[73],"bypass.":[76],"selected":[78],"studies":[79,100,137,145],"on":[80],"or":[82,106,269],"more":[86],"than":[87],"50":[88],"patients":[89,140,148,159,178],"published":[91],"English":[94],"language":[95],"for":[96,158,170,181,186],"analysis.":[97],"excluded":[99],"reoperative":[102],"other":[107,303],"procedures.":[109],"postoperative":[115,277],"were":[117,149,179,257],"recorded":[118],"each":[120],"study.":[121],"used":[123],"chi2":[124],"Fisher":[126],"exact":[127],"tests":[128],"to":[129,294],"determine":[130],"statistical":[131],"significance.":[132],"RESULTS:":[133],"Ten":[134],"3464":[139],"8":[142],"2771":[147],"considered.":[150],"mean":[152,174,190],"reported":[155,191],"average":[156,192],"age":[157],"undergoing":[160],"was":[163,219,238],"41":[164],"years":[165,169],"43":[168],"percentages":[175],"female":[177],"87%":[180],"82%":[185],"GBP;":[188],"body":[193],"mass":[194],"index":[195],"(calculated":[196],"as":[197],"weight":[198],"kilograms":[200],"divided":[201],"by":[202],"square":[204],"height":[206],"meters),":[208],"48.7":[209],"49.5,":[211],"respectively.":[212],"Compared":[213],"GBP,":[216,291],"associated":[220],"a":[222],"decrease":[223,305],"iatrogenic":[228],"splenectomy,":[229],"wound":[230],"infection,":[231],"incisional":[232],"hernia,":[233],"mortality;":[235],"however,":[236],"there":[237],"an":[239],"increase":[240,288],"early":[245],"late":[247],"bowel":[248],"obstruction,":[249],"gastrointestinal":[250],"tract":[251],"hemorrhage,":[252],"stomal":[254],"stenosis.":[255],"There":[256],"no":[258],"significant":[259],"differences":[260],"anastomotic":[265],"leak,":[266],"pulmonary":[267],"embolism,":[268],"pneumonia.":[270],"CONCLUSIONS:":[271],"are":[284],"different.":[285],"Certain":[286],"probably":[292],"owing":[293],"learning":[296],"curve":[297],"this":[299],"complex":[300],"procedure,":[301],"whereas":[302],"because":[306],"advantages":[309],"smaller":[312],"access":[313],"incision.":[314]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":20},{"year":2019,"cited_by_count":18},{"year":2018,"cited_by_count":26},{"year":2017,"cited_by_count":21},{"year":2016,"cited_by_count":24},{"year":2015,"cited_by_count":42},{"year":2014,"cited_by_count":48},{"year":2013,"cited_by_count":43},{"year":2012,"cited_by_count":47}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2016-06-24T00:00:00"}