Laparoscopic Roux-en-Y gastric bypass: long term clinical outcomes

Abstract

Although there was a statistically significant difference in %EWL between short- and long-term follow-up, both arms showed a clinically relevant %EWL (69 and 65%) and both were statistically significant compared with preoperative values. The improvement or resolution of comorbidities achieved with LRYGB was maintained in long-term follow-up. Thus, LRYGB resulted in significant improvement in clinical outcomes that were durable in the long term.

Laparoscopic mini-gastric bypass in patients age 60 and older

“…This loss of patient follow-up is consistent with other studies that look at long-term outcome. Follow-up rates in these studies ranged from 24 to 48.9 % [46][47][48][49].…”

Treatment of obesity and diabetes with bariatric surgery

“…Improvement was defined as a decrease in symptoms, a decrease in medications, or an improvement in lab values. Obeid et al, reported that after a median follow-up of 75 months, the median BMI was 29.6 kg/ m 2 [21]. This was a statistically significant weight regain when compared to the short-term follow-up reported.…”

“…A recent retrospective study by Obeid et al, challenged the conclusions made by DiGiorgi et al, with respect to the longterm outcomes of RYGB surgery [21]. Their study included 770 patients of which 172 presented for long-term follow up.…”

“…However, Obeid et al, argue that there is evidence in the literature for a relationship between the maintenance of weight loss and remission of comorbidites, such as T2DM [23]. Consequently, they believe that their long-term maintenance of weight loss (BMI 29.6 kg/m 2 at 75 months) may be responsible for the excellent resolution rate of T2DM [21].…”

“…Firstly, only 172 patients were included out of a possible total of 770 [21]. The rationale was 78% of those patients did not present for long-term follow-up and were excluded as a result.…”