Roux-en-Y Gastric Bypass: Ten-year Results in a Cohort of 658 Patients.

Détails

ID Serval
serval:BIB_7F9FCC7A6EB0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Roux-en-Y Gastric Bypass: Ten-year Results in a Cohort of 658 Patients.
Périodique
Annals of surgery
Auteur(s)
Duvoisin C., Favre L., Allemann P., Fournier P., Demartines N., Suter M.
ISSN
1528-1140 (Electronic)
ISSN-L
0003-4932
Statut éditorial
Publié
Date de publication
12/2018
Peer-reviewed
Oui
Volume
268
Numéro
6
Pages
1019-1025
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The aim of this paper is to report, with a high follow-up rate, 10-year results in a large cohort of patients after Roux-en-Y gastric bypass (RYGBP) done essentially by laparoscopy.
RYGBP has been performed for 50 years, including 20 years by laparoscopy, yet very few long-term results have been reported, mostly after open surgery.
Prospective bariatric database established since the introduction of bariatric surgery. Retrospective data analysis on weight loss, long-term complications, quality of life, and comorbidities.
In all, 658 consecutive patients (515 women/143 men) were included: 554 with primary RYGBP, 104 with reoperative RYGBP. There was 1 (0.15%) postoperative death. Thirty-two (5%) patients died during follow-up from causes unrelated to surgery. Ten years after primary RYGBP, patients lost 28.6 ± 10.5% of their initial weight, corresponding to a mean of 13.2 body mass index (BMI) units. Among them, 72.8% achieved a BMI <35. Weight loss ≥20% was seen in 80.3% and <10% in 3.9% of patients. Results were similar in patients undergoing primary or reoperative RYGBP, but were better in patients who were initially less obese (BMI <50 kg/m) than in superobese patients. Quality of life and comorbidities significantly improved with 80% resolution or improvement of metabolic comorbidities. All patients required supplementations, and 14.6% required long-term reoperation.
RYGBP provides long-term satisfactory weight loss up to 10 years, and significantly improves quality of life and comorbidities. Long-term complications requiring reoperation can develop. Mineral and vitamin supplementation are universally necessary. Other more effective surgical options should be discussed in patients with very severe obesity.
Pubmed
Web of science
Création de la notice
07/12/2017 21:19
Dernière modification de la notice
20/08/2019 14:40
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