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Long-Term Results of Laparoscopic Roux-en-Y Gastric Bypass: Evaluation After 9 Years

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Abstract

This retrospective study aimed to evaluate the long-term results of the laparoscopic Roux-en-Y gastric bypass (LRYGB) procedure performed at our department of bariatric surgery. The 126 consecutive patients treated by LRYGB between January 1, 2001 and December 31, 2002 were analyzed in August 2011. Seventy-seven patients (61.1 %), including 18 who had had previous bariatric surgery, were available for evaluation after 9.4 ± 0.6 years (range, 8.7–10.9 years). Eight patients (10.4 %) suffered from type 2 diabetes mellitus (DMII) at the time of surgery. Initial body mass index (BMI) was 40.3 ± 7.5 kg/m2 (range, 24.5–66.1 kg/m2). There was no postoperative mortality, but two patients died of causes unrelated to the surgery. Some 9 % of the patients suffered from internal herniation, despite the closure of potential hernia sites. With time, the patients had the tendency to experience weight regain: percentage of excess BMI lost was 56.2 ± 29.3 % (range, −78.8 to 117.9 %), down from a maximum of 88.0 ± 29.6 % (range, −19.7 to 197.1 %), that had been obtained after a median of 2.0 years (range, 1–8 years). LRYGB was effective for diabetes control in 85.7 % of the affected patients, but, surprisingly, 27.9 % developed new-onset diabetes. The weight regain in this latter patient group was statistically not different from the nondiabetic group. Conversely, four patients required hospitalization for hypoglycemic syndrome. Two patients underwent reversal of their bypass for problems linked to glucose metabolism (one hypoglycemia, one DMII). Patient quality of life was fair. The patient satisfaction remained good in 76 % of the cases.

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Conflict of Interest

The authors have no conflict of interest with the materials presented here. Jacques Himpens is a consultant for Ethicon Endosurgery (receives money personally) and receives money personally from Gore for lectures. Anneleen Verbrugghe has no potential conflicts of interest. Wouter Everaerts has no potential conflicts of interest. Guy-Bernard Cadière is a consultant for Covidien, Endogastric Solutions, and Ethicon Endosurgery (receives money personally and for the unit of obesity surgery at Saint-Pierre University Hospital); he personally receives royalties from Intuitive and has stock options of Endogastric Solutions. Jan Willlem Greve is a consultant with Allergan and Johnson and Johnson Endosurgery (receives money personally from both companies); he is a consultant with GI Dynamics and his institution receives money for that; his institution benefits from an open research grant from GI Dynamics.

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Authors and Affiliations

  1. European School of Laparoscopic Surgery, Brussels, Belgium

    Jacques Himpens & Guy-Bernard Cadière

  2. Saint-Pierre University Hospital, 322 Hoogstraat, Brussels, 1000, Belgium

    Jacques Himpens & Guy-Bernard Cadière

  3. St. Blasius General Hospital, Dendermonde, Belgium

    Jacques Himpens, Anneleen Verbrugghe & Wouter Everaerts

  4. Atrium Medical Center, Heerlen, The Netherlands

    Jan-Willem Greve

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  1. Jacques Himpens
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Correspondence to Jacques Himpens.

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Himpens, J., Verbrugghe, A., Cadière, GB. et al. Long-Term Results of Laparoscopic Roux-en-Y Gastric Bypass: Evaluation After 9 Years. OBES SURG 22, 1586–1593 (2012). https://doi.org/10.1007/s11695-012-0707-z

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