John Muir Health
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The John Muir Weight Loss Surgery Center at John Muir Medical Center is focused on delivering the highest quality care for patients throughout their weight loss surgery experience. Since the beginning of the program in 2002, the center has completed over 430 surgeries. With the variety of procedures the center offers, John Muir's success in delivering quality care is reflected in the data below.

Key Clinical Indicators:

Volume of Laparoscopic vs. Open Procedures

Laparoscopic surgery is a less-invasive way of entering the abdominal cavity through multiple, very small incisions rather than one large incision (open surgery).

2005-07 to date
Total
2005
2006
2007
Laparoscopic Procedures
198
97
51
50
Open Procedures
2
1
1
0

(Does not include conversion from VBG to gastric bypass)

Volume by Procedure Type

  • RNY gastric bypass involves reducing the upper stomach to a very small pouch using staples, and bypassing the rest of the stomach and a section of the small intestine.
  • Sleeve gastrectomy involves removing about 75% of the stomach, leaving a narrow, tube-shaped stomach pouch.
  • Duodenal switch is a sleeve gastrectomy with the addition of a partial intestinal bypass.
2005-07 to date
Total
2005
2006
2007
RNY Gastric Bypass
168
89
43
36
Sleeve Gastrectomy
28
6
8
14
Duodenal Switch
4
3
1
0

Mortality Rates

Patient deaths related to complications from weight loss surgery.

Total
2005
2006
2007

0
0
0
0

Excess Body Weight Loss after 1 Year (RNY Gastric Bypass only)

The percentage of the patient's excess body weight (weight above a normal body mass index of 24) lost within one year after weight loss surgery. It is expected that weight loss will continue at a slower rate into the 2nd year.

 
Percent Excess Body Weight Lost (Average)
1 Year After
74%
2 Years After
79%

Leak at Internal Surgical Site

Leak of gastric contents occurring at either the internal staple line or the site where intestine is joined to the stomach.

 
Total
2005
2006
2007
JMH
0.5%
0
0
1
Study Benchmark
2.0%
 
 
 

Deep Vein Thrombosis within 30 Days after Surgery

A blood clot forming in the lower leg related to the effects of surgery. Abdominal surgery, morbid obesity, and inactivity are risk factors for deep vein thrombosis.

 
Total
2005
2006
2007
JMH
0%
0
0
0
Study Benchmark
2.0%
 
 
 

Surgical Infection Rates

Infection at external surgical incision sites.

 
Total
2005
2006
2007
JMH
1
0
1
0
Study Benchmark
1.7%
 
 
 

We report all clinical data to SAGES National Bariatric Surgery Database.