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Long-term results 11 years after primary gastric bypass in 384 patients

Edholm, David (author)
Uppsala universitet,Gastrointestinalkirurgi
Svensson, Felicity (author)
Uppsala universitet,Gastrointestinalkirurgi
Näslund, Ingmar (author)
Örebro University, Örebro, Sweden
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Karlsson, F Anders (author)
Uppsala universitet,Endokrin diabetes och metabolism
Rask, Eva, 1958- (author)
Örebro universitet,Institutionen för hälsovetenskap och medicin
Sundbom, Magnus (author)
Uppsala universitet,Gastrointestinalkirurgi
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 (creator_code:org_t)
Elsevier BV, 2013
2013
English.
In: Surgery for Obesity and Related Diseases. - : Elsevier BV. - 1550-7289 .- 1878-7533. ; 9:5, s. 708-713
  • Journal article (peer-reviewed)
Abstract Subject headings
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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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

Keyword

Morbid obesity
Gastric bypass
Long-term

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ref (subject category)
art (subject category)

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