RESUMO
Objective: We searched for long-term peripheral nerve complications 10-15â¯years after Roux-en-Y gastric bypass surgery (RYGB), using a comprehensive nerve conduction study (NCS) protocol. Methods: Patients (nâ¯=â¯175, mean age 52.0, BMI 35.2) and 86 community-controls (mean age 56.8, BMI 27.2) had NCS of one upper and lower limb. New abnormality scores from 27 polyneuropathy-relevant (PNP27s) and four carpal tunnel syndrome-relevant NCS-measures (CTS4s) were compared between groups with non-parametric statistics. Estimated prevalences were compared by 95â¯% confidence limits. The clinical neurophysiologist's diagnosis was retrieved from hospital records (PNP-ncs, CTS-ncs, other). Results: Abnormality score did not differ between RYGB and control groups (PNP27s: 1.9 vs 1.7, CTS4s: 0.7 vs 0.6, pâ¯>â¯0.29). BMI correlated weakly with CTS4s in patients (rhoâ¯=â¯0.19, pâ¯=â¯0.01), and less with PNP27s (rhoâ¯=â¯0.12, pâ¯=â¯0.12). Polyneuropathy (PNP-ncs) prevalence was 12â¯% in patients and 8â¯% in controls. CTS-ncs prevalence was 21â¯% in patients and 10â¯% in controls (pâ¯=â¯0.04). Conclusions: NCS-based abnormality scores did not differ between patients 10-15â¯years after RYGB and community-recruited controls, neither for PNP nor CTS. Significance: Long-term polyneuropathic complications from RYGB have probably been avoided by modern treatment guidelines. NCS-diagnosed CTS is common in overweight RYGB patients. RYGB-patients with significant neuropathic symptoms need clinical evaluation.