Bariatric surgery outcomes in black patients with super morbid obesity: a 1-year postoperative review

Super morbid obesity (body mass index [BMI] > 50 kg/m2) is associated with significant comorbidities and is disparagingly prevalent among the black population. There is paucity of data regarding bariatric surgery outcomes among super morbid obese (SMO) blacks. Our aim is to evaluate the reduction...

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Bibliographic Details
Published in:The American journal of surgery 2017-01, Vol.213 (1), p.64-68
Main Authors: Onyewu, Samuel C., Ogundimu, Ololade O., Ortega, Gezzer, Bauer, Edward S., Emenari, Chijindu C., Molyneaux, Neh D., Layne, Sylvonne A., Changoor, Navin R., Tapscott, Denia, Tran, Daniel D., Fullum, Terrence M.
Format: Article
Language:English
Subjects:
Adult
African Americans
Age
Bariatric Surgery
Black patients
Body Mass Index
Comorbidities
Cultural differences
Demographics
Diabetes
Female
Gastrointestinal surgery
Gender
Humans
Hypertension
Laparoscopy
Male
Middle Aged
Mortality
Obesity
Obesity, Morbid - complications
Obesity, Morbid - ethnology
Obesity, Morbid - surgery
Patients
Retrospective Studies
Standard deviation
Super morbid obesity
Time Factors
Treatment Outcome
Weight control
Weight Loss
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Summary:Super morbid obesity (body mass index [BMI] > 50 kg/m2) is associated with significant comorbidities and is disparagingly prevalent among the black population. There is paucity of data regarding bariatric surgery outcomes among super morbid obese (SMO) blacks. Our aim is to evaluate the reduction in weight and resolution of comorbidities after bariatric surgery among SMO black patients at an urban academic institution. A retrospective review of SMO black patients who underwent bariatric surgery from August 2008 to June 2013 at Howard University Hospital. Outcomes of interest include weight loss, improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia at 12 months. Eighty-seven patients met our inclusion criteria. Mean preoperative weight and BMI were 347.2 lbs and 56.8 kg/m2, respectively. At 12 months, mean weight and BMI were 245.3 lbs and 40.1 kg/m2, respectively. There was also significant improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia. Bariatric surgery may result in significant weight loss and improvement or resolution of comorbidities in SMO black patients.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2016.05.010