Weight Loss and Comorbidity Resolution 3 Years After Bariatric Surgery—an Indian Perspective

  • Amrit Manik Nasta
  • Ramen Goel
  • Shefali Dharia
  • Madhu Goel
  • Shireen Hamrapurkar
Original Contributions
  • 56 Downloads

Abstract

Introduction

Bariatric surgery has seen a sharp rise in India in the last decade. India is one of the 10 most obese nations of the world, ranking second in number of type 2 diabetics.

Aims

To evaluate clinical outcomes of bariatric surgery after 3 years of follow-up in terms of weight loss, co-morbidity resolution, complaints of gastroesophageal reflux disease and weight regain.

Methodology

All patients who underwent bariatric surgery from January to December 2013 with a minimum follow-up of 3 years were included in the study. Their demographic, preoperative, and postoperative data were prospectively maintained on Microsoft Office Excel and analyzed statistically.

Results

One hundred seventy-eight patients (157 lap. sleeve gastrectomy and 21 patients lap. RYGB) completed 3 years of follow-up. In the LSG group, patients had a pre-operative BMI 44.8 ± 8.33 kg/sq. m (mean ± S.D.) and excess body weight 52.3 ± 23.0 kg. In the RYGB group, pre-operative BMI was 42.7 ± 8.82 kg/sq. m and excess body weight 45 ± 18.7 kg. In the LSG group, % excess weight loss (EWL) at 1 year was 87.6 ± 24.4% and 3 years was 71.8 ± 26.7%. In the RYGB group, % EWL at 1 year was 97.2 ± 27.3% and at 3 years was 85.8 ± 25.3%. Diabetes resolution was seen in 32 (80%) in LSG group and 11 (91.7%) in RYGB group (Figs. 1, 2, 3, and 4).

Conclusion

Our study reflects that there is no statistically significant difference between outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass surgery in terms of weight loss and diabetes resolution at 3 years.

Keywords

Bariatric surgery Metabolic surgery Sleeve gastrectomy Roux-en-Y gastric bypass Diabetes Hypertension Obstructive sleep apnoea Joint pain Weight regain Gastroesophageal reflux disease 

Notes

Compliance with Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Amrit Manik Nasta
    • 1
  • Ramen Goel
    • 2
  • Shefali Dharia
    • 1
  • Madhu Goel
    • 1
  • Shireen Hamrapurkar
    • 1
  1. 1.Wockhardt HospitalsMumbaiIndia
  2. 2.Bariatric and Metabolic SurgeryWockhardt HospitalsMumbaiIndia

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