Dr. Raftopoulos' Bariatric Surgery 2003-2007 Outcomes

Dr. Raftopoulos comes to Saint Francis with an excellent outcome record which includes no deaths and no leaks in primary bariatric procedures. Dr. Raftopoulos routinely reinforces all staple lines with sutures. This additional step has completely eliminated significant intestinal bleeding and transfusions since March 2006.

Outcomes
Primary Bariatric procedures 284
   Conversion to open surgery 3 (1.05%) None since 2003
   Deaths 0
   Leaks 0
   Blood clots 4 (1.4%) None since 3/2006
   Bleedings 7 (2.4%) None since 3/2006
   Intestinal blockage 7 (2.4%) None since 6/2006
Revisions of Bariatric procedures 21
   Conversion to open surgery 2 (9.5%) None since 10/2004
   Deaths 0
   Leaks 2 (9.5%) None since 10/2004
   Blood clots 2 (9.5%) None since 4/2006
   Bleedings 1 (4.7%) None since 12/2006
   Intestinal blockage 1 (4.7%) None since 9/2005
Last year 30-day re-exploration rate 1.5%
Last year 30-day re-admission rate 3%


Body mass index (BMI) change in relation to preoperative BMI
Preop BMI group Preop mean BMI 0-3 months postop mean BMI change 3-6 months postop mean BMI 6-9 months postop mean BMI 9-12 months postop mean BMI 1-2 years postop mean BMI
35-39.9
(49 patients)		 37.18 6.2
(6.97%)*		 3.7
(26.9%)*		 2.4
(47.4%)*		 0
(52.94%)*		 0
(37.5%)*
40-49.9
(153 patients)		 44.83 7.2 5.4
(2.3%)*		 2.2
(11%)*		 1.3
(24.52%)*		 1.2
(29.02%)*
50-59.9
(74 patients)		 53.82 8 6.4 2.9 2.2 2.9
(6.25%)*
> 60
(18 patients)		 65.64 9.8 7.6 4 5 3.2
*The number is brackets represents the percent of patients who were able to
achieve a normal body mass index for that BMI group and follow up period.


Excess Weight Loss (EWL) in relation to preoperative BMI
Preop BMI group 0-3 months postop mean EWL 3-6 months postop mean EWL 6-9 months postop mean EWL 9-12 years postop mean EWL 1-2 years postop mean EWL
35-39.9 45.11% 68%
(11.53%)*		 87.5%
(42.1%)*		 86.6%
(47%)*		 84.8%
(25%)*
40-49.9 33.26 57.5%
(1.13%)*		 67.3%
(8.21%)*		 73.5%
(15.09%)*		 79.5%
(22.5%)*
50-59.9 26% 47% 56% 63.7%
(3.33%)*		 72.9%
(12.5%)*
> 60 22.3% 39.3% 49.4% 60.5% 69.8%
*The number is brackets represents the percent of patients who were able to
achieve superior weight loss with over 90% EWL for that BMI group and
follow up period.


Body Weight (lbs) change over time in relation to preoperative BMI
Preop BMI group Preop mean weight (lbs) 0-3 months postop mean weight (lbs) change 3-6 months postop mean weight (lbs) change 6-9 months postop mean weight (lbs) change 9-12 months postop mean weight (lbs) change 1-2 years postop mean weight (lbs) change
35-39.9 226.6 37.6 21.5 15 0.3 0
40-49.9 276.7 44.9 34.7 16.7 6.2 9.2
50-59.9 326.9 49.7 38.7 12.5 14.5 11.7
> 60 402.8 51.6 42.3 38.1 24.8 22.5