Anthropometric parameters and permanent remission of comorbidities 10 years after open gastric bypass in a cohort with high prevalence of super-obesity.
Endocrinol Diabetes Nutr
; 64(6): 310-316, 2017.
Article
in En, Es
| MEDLINE
| ID: mdl-28604341
ABSTRACT
BACKGROUND AND AIM:
Roux-en-Y gastric bypass (RYGB) is an effective treatment for weight loss in patients with morbid obesity. However, few studies have assessed its long-term efficacy in super-obese patients. The study objective was to analyse the long-term effectiveness of RYGB and its effect on improvement of comorbidities after 10 years of follow-up, and to compare the results depending on baseline BMI (<50kg/m2 vs ≥50kg/m2). PATIENTS ANDMETHODS:
A retrospective study was conducted in 63 patients referred for RYGB with a 10-year or longer follow-up period. Mean BMI before surgery was 55kg/m2.RESULTS:
Mean BMI decreased to 38.1kg/m2 at 10 years of follow-up. The success rates according to Reinhold criteria modified by Christou and to Biron's criteria were 30.2% and 54% respectively. The corresponding rates in super-obese patients were 21.4% and 57.1%. Significant, stable improvement was seen in diabetes, dyslipidemia, hypertension, and sleep apnea.CONCLUSIONS:
Sustained weight loss was achieved after gastric bypass, with a mean excess weight loss of 50.6% after 10 years despite the high prevalence of super-obesity. Comorbidity improvement was maintained.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Obesity, Morbid
/
Gastric Bypass
/
Body Mass Index
/
Sleep Apnea, Obstructive
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Diabetes Mellitus, Type 2
/
Dyslipidemias
/
Hypertension
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Country/Region as subject:
Europa
Language:
En
/
Es
Journal:
Endocrinol Diabetes Nutr
Year:
2017
Document type:
Article
Affiliation country:
Spain
Country of publication:
ES
/
ESPANHA
/
ESPAÑA
/
SPAIN