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Long-term results 1...
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Edholm, DavidUppsala universitet,Gastrointestinalkirurgi
(författare)
Long-term results 11 years after primary gastric bypass in 384 patients
- Artikel/kapitelEngelska2013
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Elsevier BV,2013
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LIBRIS-ID:oai:DiVA.org:oru-54773
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-54773URI
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https://doi.org/10.1016/j.soard.2012.02.011DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-181684URI
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Språk:engelska
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Sammanfattning på:engelska
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Background: Roux-en-Y gastric bypass surgery (RYGB) as treatment of morbid obesity results in substantial weight loss. Most published long-term studies have included few patients at the last follow-up point. The aim of the present study was to explore long-term results in a large cohort of patients 7-17 years after gastric bypass.Methods: All 539 patients who had undergone primary RYGB from 1993 to 2003 at Uppsala and Orebro University Hospitals received a questionnaire regarding their postoperative status. Blood samples were obtained and the medical charts studied.Results: Of the 539 patients, 384 responded (71.2% response rate, mean age 37.9 yr, body mass index 44.5 kg/m(2) at surgery, 317 women, and 67 men). At a mean follow-up of 11.4 years (range 7-17), the body mass index had decreased to 32.5 kg/m(2), corresponding to an excess body mass index loss of 63.3%. Similar weight loss was observed, regardless of the length of follow-up. Orally treated diabetes resolved in 72% and sleep apnea and hyperlipidemia were improved. Revisional bariatric surgery had been performed in 2.1% and abdominoplasty in 40.2%. The gastrointestinal symptoms were considered tolerable. The overall result was satisfactory for 79% of the patients and 92% would recommend Roux-en-Y gastric bypass to a friend. Attendance to the annual checkups was 37%. Vitamin B-12 supplements were taken by 72% and multivitamins by 24%.Conclusion: At 11 years, substantial weight loss was maintained and revisional surgery was rare. Surprisingly few patients were compliant with the recommendation of lifelong supplements and yearly evaluations; however, patient satisfaction was high.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Svensson, FelicityUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)felsv348
(författare)
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Näslund, IngmarÖrebro University, Örebro, Sweden
(författare)
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Karlsson, F AndersUppsala universitet,Endokrin diabetes och metabolism(Swepub:uu)anderska
(författare)
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Rask, Eva,1958-Örebro universitet,Institutionen för hälsovetenskap och medicin(Swepub:oru)erk
(författare)
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Sundbom, MagnusUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)magsundb
(författare)
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Uppsala universitetGastrointestinalkirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Surgery for Obesity and Related Diseases: Elsevier BV9:5, s. 708-7131550-72891878-7533
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