Is Roux-en-Y gastric bypass adequate in the super-obese?

The outcome after Roux-en-Y gastric bypass (RYGBP) in morbidly obese (MO) (body mass index [BMI] 40-50) was compared with super-obese (SO) (BMI >50) and super-super-obese (SSO) (BMI >60) patients. A prospective study was conducted in 738 consecutive patients who underwent RYGBP. 483 MO were co...

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Published in:Obesity surgery 2006-04, Vol.16 (4), p.478-483
Main Authors: Sánchez-Santos, Raquel, Vilarrasa, Nuria, Pujol, Jorge, Moreno, Pablo, Manuel Francos, Jose, Rafecas, Antonio, Masdevall, Carlos
Format: Article
Language:English
Subjects:
Body Mass Index
Body Weight
Comorbidity
Diabetes Mellitus - epidemiology
Female
Gallstones - epidemiology
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastric Bypass - mortality
Humans
Laparoscopy
Length of Stay
Male
Medical treatment
Middle Aged
Mortality
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Postoperative Complications - epidemiology
Prospective Studies
Sleep Apnea Syndromes - epidemiology
Surgery
Treatment Outcome
Weight Loss
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container_issue 4
container_start_page 478
container_title Obesity surgery
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creator Sánchez-Santos, Raquel
Vilarrasa, Nuria
Pujol, Jorge
Moreno, Pablo
Manuel Francos, Jose
Rafecas, Antonio
Masdevall, Carlos
description The outcome after Roux-en-Y gastric bypass (RYGBP) in morbidly obese (MO) (body mass index [BMI] 40-50) was compared with super-obese (SO) (BMI >50) and super-super-obese (SSO) (BMI >60) patients. A prospective study was conducted in 738 consecutive patients who underwent RYGBP. 483 MO were compared with 184 SO and 70 SSO. Study endpoints included: effect on co-morbid conditions, postoperative morbidity and mortality, and long-term results. Statistical analysis utilized SPSS 11.0. Percentage of males was significantly greater in the SO groups (16.5% vs 13%, P=0.01). Obesity-related conditions were significantly more frequent in the SO groups: sleep apnea (38% vs 17%, P50% at 5 years was: MO 81.5%, SO 87.5%, SSO 80%. The surgery was effective in treating the co-morbid conditions. RYGBP achieved significant durable weight loss and effectively treated co-morbid conditions in SO and SSO patients with acceptable postoperative morbidity and slightly greater mortality than in MO patients.
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subjects Body Mass Index
Body Weight
Comorbidity
Diabetes Mellitus - epidemiology
Female
Gallstones - epidemiology
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastric Bypass - mortality
Humans
Laparoscopy
Length of Stay
Male
Medical treatment
Middle Aged
Mortality
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Postoperative Complications - epidemiology
Prospective Studies
Sleep Apnea Syndromes - epidemiology
Surgery
Treatment Outcome
Weight Loss
title Is Roux-en-Y gastric bypass adequate in the super-obese?
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