Outcomes following laparoscopic Roux-en-Y gastric bypass (LRYGB) vary by sex: Analysis of 83,059 women and men with morbid obesity - 24/05/19
Abstract |
Background |
Previously we have reported variation in pre-operative clinical characteristics between women and men undergoing laparoscopic roux-en-Y gastric bypass (LRYGB). However, variation by sex in post-operative outcomes following LRYGB has not been investigated.
Methods |
Pre-operative data was compared to follow-up data at 12 months after surgery on 83,059 patients from the Surgical Review Corporation's BOLD database. Data included age, weight, BMI, and 31 obesity-related medical conditions.
Results |
Men had increased weight, actual weight lost, and BMI. Women had higher rates of gastrointestinal and mental health disorders. Men failed to resolve cardiopulmonary/vascular and metabolic derangements, abdominal hernia, and were more functionally impaired than women.
Conclusions |
Overall, women may benefit more from LRYG than men, as their pre-operative conditions showed greater improvement at 12 months post-op. This advance knowledge may aid LRYGB planning and improve outcomes.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Men resolved fewer co-morbidities than women after laparoscopic Roux-en-Y gastric bypass. |
• | Women may benefit more from laparoscopic Roux-en-Y gastric bypass surgery than men. |
• | This data should be considered when discussing post-operative expectations with patients. |
Keywords : Obesity, Roux-en-Y, Gender, Co-morbidities, Bariatric surgery
Plan
Vol 217 - N° 6
P. 1019-1024 - juin 2019 Retour au numéro
Article précédent
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