Obesity Surgery

, Volume 20, Issue 3, pp 283–289

Long-Term Outcomes of Laparoscopic Roux-en-Y Gastric Bypass in US Veterans

  • Debra L. Hauser
  • Rebecca L. Titchner
  • Mark A. Wilson
  • George M. Eid
Clinical Research

Abstract

Background

The objective of this study is to evaluate the long-term outcomes following laparoscopic Roux-en-Y gastric bypass (LREYGB) in veteran patients. The VA bariatric population differs from its counterpart in the private sector by the predominance of a male population, a higher percentage of patients from a lower socioeconomic background, a higher mean age, and a higher rate of obesity-related comorbidities.

Methods

A retrospective review with prospectively collected data was used to analyze postoperative changes of comorbidities and percent of excess weight loss (% EWL) in consecutive patients who underwent LREYGB between August 2003 and September 2006.

Results

Among 70 patients, 73% were men with a mean age of 52 years (29–66 years). Average preoperative weight and body mass index were 310 lbs (224–397 lbs) and 46 kg/m2 (36–60 kg/m2), respectively. The incidence of major and minor complications was 1.4% and 15.7%, respectively. There were no mortalities. Follow-up (f/u) was possible in all patients. At a mean f/u rate of 39 months, % EWL was 56%. At 1, 3, and 5 years, % EWL was 61%, 53%, and 59%, respectively. Thirty-five patients (50%) had type 2 diabetes mellitus (T2DM). Glycosylated hemoglobin concentrations returned to normal levels in 91% of patients and improved in an additional 6% of T2DM cases. Only 7% of patients are still maintained on antidiabetic medications. In patients with more than 1 year f/u, most other comorbidities were improved or resolved.

Conclusions

Long-term f/u of LREYGB in veteran patients demonstrated significant and durable weight loss (56% EWL) with marked improvements in comorbidities especially T2DM.

Keywords

Morbid obesity Veterans Bariatric surgery Type 2 diabetes mellitus Gastric bypass High risk Long-term 

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Debra L. Hauser
    • 1
  • Rebecca L. Titchner
    • 1
  • Mark A. Wilson
    • 1
  • George M. Eid
    • 1
    • 2
  1. 1.Veterans Administration Pittsburgh Healthcare SystemPittsburghUSA
  2. 2.Division of Minimally Invasive SurgeryThe University of Pittsburgh Medical CenterPittsburghUSA

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