Roux-en-Y gastric bypass is a safe and effective option that improves major Co-Morbidities associated with obesity in an older, veteran population - 26/09/19
, Anne L. Schafer b , Lygia Stewart a, ⁎ Abstract |
Background |
Though over one-third of veterans suffer from obesity and its associated comorbidities, bariatric surgery (deleted: is seldom offered) is less commonly offered than in other populations.
Methods |
We reviewed surgical outcomes using CPRS/Vista data of (“deleted 308) 315 Roux-en-Y gastric bypass (RYGB) cases performed at a major VA Medical Center (1995–2017).
Results |
Patients were 69% male, with an average age 52 (65% over 50), and were followed for an average of 8 years; 158 (51%) underwent laparoscopic surgery, and the remaining open. Outcomes were: 30-day mortality- Open: 1.3%, Lap: 0%; anatomic leak-open: 0.3%, Lap: 0%. A total of 32 (10%) Clavien-Dindo 
3 complications occurred. At 5 and 15 years, average BMI decreased from 47 preoperatively to 33.3 and 31 respectively, while excess body weight loss was 68%, and 80%, respectively. Co-morbidity resolution rates were between 70 and 80% diabetes, sleep apnea, hyperlipidemia, GERD, (delete – hypertension), and NASH.
Conclusions |
RYGB offers sustained, long-term weight loss with significant resolution of major comorbidities in older veterans, with acceptably low morbidity and mortality.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Retrospective series of 315 Veterans undergoing gastric bypass, 8 yr mean follow-up. |
• | 30-day mortality was 0.6%, and Clavien-Dindo grade 3 complications were 10%. |
• | The anastomotic leak rate was 0.3%, and only occurred in 1 open case. |
• | Durable and effective weight loss: average BMI from 47 to 31 kg/m2 at 15 yrs. |
• | Dramatic resolution/improvement of co-morbidities, and 80% remission of diabetes. |
Keywords : Roux-en-Y gastric bypass, Elderly, Veteran, Obesity, Co-morbidity
Plan
Vol 218 - N° 4
P. 684-688 - octobre 2019 Retour au numéro
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