| Abstract | BACKGROUND: The outcome after Roux-en-Y gastric bypass (RYGBP) in morbidly obese (MO) (body mass index [BMI] 40-50) was compared with super-obese (SO) (BMI >50) and super-super-obese (SSO) (BMI >60) patients. METHODS: A prospective study was conducted in 738 consecutive patients who underwent RYGBP. 483 MO were compared with 184 SO and 70 SSO. Study endpoints included: effect on co-morbid conditions, postoperative morbidity and mortality, and long-term results. Statistical analysis utilized SPSS 11.0. RESULTS: Percentage of males was significantly greater in the SO groups (16.5% vs 13%, P=0.01). Obesity-related conditions were significantly more frequent in the SO groups: sleep apnea (38% vs 17%, P<0.0005), gallstones (23% vs 14%, P=0.013); diabetes (29% vs 17%, P=0.002). Hospital stay was longer in the SO groups (5.7+/-6.1 days vs 4.6+/-2.6 days, P=0.024). Wound infection was more frequent in the SO groups (4.7% vs 1.4%, P=0.019). Postoperative mortality was greater in the SSO and SO groups (1.6% and 1.4%) than MO (0%) (P=0.019). Incisional hernia was more frequent in the SO groups (14.1% vs 8.6%; P=0.041). There was no significant difference in percent of excess weight loss (%EWL) between the three groups. EWL >50% at 5 years was: MO 81.5%, SO 87.5%, SSO 80%. The surgery was effective in treating the co-morbid conditions. CONCLUSION: RYGBP achieved significant durable weight loss and effectively treated co-morbid conditions in SO and SSO patients with acceptable postoperative morbidity and slightly greater mortality than in MO patients. |
| Authors | Raquel Sánchez-Santos, Nuria Vilarrasa, Jorge Pujol, Pablo Moreno, Jose Manuel Francos, Antonio Rafecas, Carlos Masdevall
(Affiliation: Department of Bariatric Surgery, Hospital Universitario Bellvitge, Feixa Llarga s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain. rsanchez at csub.scs.es)
|
| Journal | Obesity surgery
(Obes Surg)
Vol. 16
Issue 4
Pg. 478-83
(Apr 2006)
ISSN: 0960-8923 England |
| PMID | 16608614
(Publication Type: Comparative Study, Journal Article)
|
| Topics |
- Body Mass Index
- Body Weight
- Comorbidity
- Diabetes Mellitus
(epidemiology)
- Female
- Gallstones
(epidemiology)
- Gastric Bypass
(adverse effects, methods, mortality)
- Humans
- Laparoscopy
- Length of Stay
- Male
- Middle Aged
- Obesity, Morbid
(epidemiology, surgery)
- Postoperative Complications
(epidemiology)
- Prospective Studies
- Sleep Apnea Syndromes
(epidemiology)
- Treatment Outcome
- Weight Loss
|
