Obesity Surgery

, Volume 24, Issue 3, pp 456–461 | Cite as

10-Year Outcomes of the Vertical Transected Gastric Bypass for Obesity: a Systematic Review

  • Taulee Hsieh
  • Luis Zurita
  • Harpreet Grover
  • Athena Bennett
  • Forough Farrokhyar
  • Scott Gmora
  • Mehran Anvari
  • Dennis Hong
Review Article

Abstract

With increasing worldwide obesity rates, the surgery of choice has become the vertical transected gastric bypass, showing short-term improvements in weight loss and comorbidities. However, corresponding 10-year data regarding such endpoints is limited. The objective of this review was to assess such evidence. A literature search yielded a total of five studies, of which three had extractable data. Results revealed a reduction in the weighted mean body mass index (BMI), from a pre- to post-operative mean BMI of 47.5 kg/m2 ± 2.0 to 33.4 kg/m2 ± 4.4 at 10 years. The weighted mean excess weight loss was 61.4 % ± 13.5. Although these results suggest that weight reduction may be sustainable in the long term, this systematic review demonstrates a lack of strong evidence to support favorable long-term outcomes following vertical transected gastric bypass for obesity.

Keywords

Obesity Bariatrics Gastric bypass Outcomes Systematic review 

References

  1. 1.
    Mason EE, Ito C. Gastric bypass in obesity. Surg Clin Am. 1967;47(6):1345–51.Google Scholar
  2. 2.
    Baker MT. The history and evolution of bariatric surgical procedures. Surg Clin Am. 2011;91:1181–201.CrossRefGoogle Scholar
  3. 3.
    Torres JC, Oca CF, Garrison RN. Gastric bypass: Roux-en-Y gastrojejunostomy from the lesser curvature. South Med J. 1983;76:1217–21.PubMedCrossRefGoogle Scholar
  4. 4.
    Samuel I, Mason EE, Renquist KE, et al. Bariatric surgery trends: an 18-year report from the International Bariatric Surgery Registry. Am J Surg. 2006;192:657–62.PubMedCrossRefGoogle Scholar
  5. 5.
    Christou NV, Look D, MacLean LD. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg. 2006;244(5):734–40.PubMedCrossRefGoogle Scholar
  6. 6.
    Higa K, Ho T, Tercero F, et al. Laparoscopic Roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis. 2011;7(4):516–5.PubMedCrossRefGoogle Scholar
  7. 7.
    Skroubis G, Karamanakos S, Sakellaropoulos G, et al. Comparison of early and late complications after various bariatric procedures: incidence and treatment during 15 years at a single institution. World J Surg. 2011;35(1):93–101.PubMedCrossRefGoogle Scholar
  8. 8.
    Awad W, Garay A, Martinez C. Ten years experience of banded gastric bypass: does it make a difference? Obes Surg. 2012;22:271–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Spivak H, Abdelmelek MF, Beltran OR, et al. Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States. Surg Endosc. 2012;26:1909–19.PubMedCrossRefGoogle Scholar
  10. 10.
    Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. NEJM. 2004;351(26):2683–93.PubMedCrossRefGoogle Scholar
  11. 11.
    Sjostrom L. Surgical intervention as a strategy for treatment of obesity. Endocrine. 2000;13(2):213–30.PubMedCrossRefGoogle Scholar
  12. 12.
    Halverson JD, Koehler RE. Gastric bypass: analysis of weight loss and factors determining success. Surgery. 1981;90:446–55.PubMedGoogle Scholar
  13. 13.
    Biron S, Hould FS, Lebel S, et al. Twenty years of biliopancreatic diversion: what is the goal of the surgery? Obes Surg. 2004;14:160–4.PubMedCrossRefGoogle Scholar
  14. 14.
    Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19:1605–11.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Taulee Hsieh
    • 1
  • Luis Zurita
    • 1
  • Harpreet Grover
    • 1
  • Athena Bennett
    • 1
  • Forough Farrokhyar
    • 1
  • Scott Gmora
    • 1
  • Mehran Anvari
    • 1
  • Dennis Hong
    • 1
    • 2
  1. 1.Department of General SurgeryMcMaster UniversityHamiltonCanada
  2. 2.St. Joseph’s HealthcareHamiltonCanada

Personalised recommendations