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

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Edholm, DavidUppsala universitet,Gastrointestinalkirurgi (author)

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

Article/chapterEnglish2013

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Elsevier BV,2013
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LIBRIS-ID:oai:DiVA.org:oru-54773
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-54773URI
https://doi.org/10.1016/j.soard.2012.02.011DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-181684URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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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 and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
Morbid obesity
Gastric bypass
Long-term

Added entries (persons, corporate bodies, meetings, titles ...)

Svensson, FelicityUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)felsv348 (author)
Näslund, IngmarÖrebro University, Örebro, Sweden (author)
Karlsson, F AndersUppsala universitet,Endokrin diabetes och metabolism(Swepub:uu)anderska (author)
Rask, Eva,1958-Örebro universitet,Institutionen för hälsovetenskap och medicin(Swepub:oru)erk (author)
Sundbom, MagnusUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)magsundb (author)
Uppsala universitetGastrointestinalkirurgi (creator_code:org_t)

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In:Surgery for Obesity and Related Diseases: Elsevier BV9:5, s. 708-7131550-72891878-7533

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By the author/editor: Edholm, David; Svensson, Felici ...; Näslund, Ingmar; Karlsson, F Ande ...; Rask, Eva, 1958-; Sundbom, Magnus

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