10-year weight loss outcomes after Roux-en-Y gastric bypass and attendance at follow-up visits: a single-center study.
Bariatric surgery
Gastric bypass
Long-term follow-up
Long-term outcomes
Roux-en-Y gastric bypass
Weight loss: Post-surgical follow-up visits
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
26
08
2021
revised:
15
10
2021
accepted:
14
11
2021
pubmed:
27
12
2021
medline:
14
4
2022
entrez:
26
12
2021
Statut:
ppublish
Résumé
Long-term durability of weight loss is a prerequisite for a greater acceptance of bariatric surgery. To examine long-term weight trajectory in patients undergoing Roux-en-Y gastric bypass (RYGB) and determine factors predicting long-term follow-up and weight outcomes. University hospital. A retrospective cohort of adults who underwent RYGB during 1997-2010 were identified and followed until 2017. Predictors for attendance at periodic follow-up visits, reduction in body mass index (BMI), and percent excess BMI lost were determined using multivariable logistic regression and linear mixed-effects models. The latter was used to predict long-term weight outcomes for a typical patient. The study included 1104 patients with a mean age of 45.5 (standard deviation [SD] 9.9) years and a preoperative BMI of 54.7 (SD 10.9) kg/m RYGB results in clinically significant and durable weight loss. Attendance at periodic follow-up visits does not appear to be associated with long-term weight loss outcomes. Future work should focus on strategies to remove barriers to post-operative care.
Sections du résumé
BACKGROUND
Long-term durability of weight loss is a prerequisite for a greater acceptance of bariatric surgery.
OBJECTIVES
To examine long-term weight trajectory in patients undergoing Roux-en-Y gastric bypass (RYGB) and determine factors predicting long-term follow-up and weight outcomes.
SETTING
University hospital.
METHODS
A retrospective cohort of adults who underwent RYGB during 1997-2010 were identified and followed until 2017. Predictors for attendance at periodic follow-up visits, reduction in body mass index (BMI), and percent excess BMI lost were determined using multivariable logistic regression and linear mixed-effects models. The latter was used to predict long-term weight outcomes for a typical patient.
RESULTS
The study included 1104 patients with a mean age of 45.5 (standard deviation [SD] 9.9) years and a preoperative BMI of 54.7 (SD 10.9) kg/m
CONCLUSION
RYGB results in clinically significant and durable weight loss. Attendance at periodic follow-up visits does not appear to be associated with long-term weight loss outcomes. Future work should focus on strategies to remove barriers to post-operative care.
Identifiants
pubmed: 34953743
pii: S1550-7289(21)00550-5
doi: 10.1016/j.soard.2021.11.017
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
538-545Informations de copyright
Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.