Abstract
Background
By submitting obese people to surgical treatment, we hope they lose weight and stay slim. Long-term monitoring is essential to assess effectiveness of surgery. This study aims to evaluate weight loss over 10 years in an obese population undergoing banded Roux-en-Y gastric bypass (B-RYGBP).
Methods
The surgery was performed in 211 obese between May 1999 and December 2000. This prospective study evaluated excess weight loss (%EWL) and body mass index (BMI) during the period. We considered surgical treatment failure if %EWL was less than 50 %.
Results
We followed 54.9 % of the population (116 patients). Patients' %EWL was 67.6 ± 14.9 % 1 year after surgery, 72.6 ± 14.9 % after 2 years, 69.7 ± 15.1 % after 5 years, 66.8 ± 7.6 % after 8 years, and 67.1 ± 11.9 % after 10 years postoperatively. Surgical treatment failure occurred in 16 patients (14.6 %) over 10 years.
Conclusions
B-RYGBP is a good technique to promote and maintain weight loss 10 years after surgery with low failure rate.
Similar content being viewed by others
References
World Health Organization. Obesity. 2008 [Accessed October 22, 2009]. Available at: http://www.who.int/topics/obesity/en/
IBGE. Pesquisa de orçamentos familiares 2008–2009: antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. 2010.
von Eyben FE, Mouritsen E, Holm J, et al. Intra-abdominal obesity and metabolic risk factors: a study of young adults. Int J Obes Relat Metab Disord. 2003;27:941–9.
Calle EE, Rodriguez C, Walker-Thurmond K, et al. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of US adults. N Engl J Med. 2003;348:1625–38.
Strobel RJ, Rosen RC. Obesity and weight loss in obstructive sleep apnea: a critical review. Sleep. 1996;19:104–15.
Wadden TA, Neiberg RH, Wing RR, et al. Four-year weight losses in the look AHEAD study: factors associated with long-term success. Obesity. 2011;19:1987–98.
Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am. 1967;47:1345–51.
Fobi M, Lee H, Flemming AW. The surgical technique of the banded gastric bypass. J Obes Weight Reg. 1989;8:99–102.
Capella RF, Capella JF, Mandec H, et al. Vertical banded gastroplasty-gastric bypass: preliminary report. Obes Surg. 1991;1:389–95.
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.
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.
Brolin RE, Lamarca LB, Kenler HA, et al. Malabsorptive gastric bypass in patients with superobesity. J Gastrointest Surg. 2002;6:195–203.
Higa K, Ho T, Tercero F, et al. Laparoscopic Roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis. 2011;7:516–25.
Mali Jr J, Valezi AC, Menezes MCL. Weight loss outcome after silastic ring Roux-en-Y gastric bypass: five years of follow-up. Obes Surg. 2007;17:1287–91.
Valezi AC, Mali Jr J, Menezes MA, et al. Weight loss outcome after silastic ring Roux-en-Y gastric bypass: 8 years of follow-up. Obes Surg. 2010;20:1491–5.
Reis FB, Lopes AD, Faloppa F, et al. The relevance of trial quality to find the best evidence. Rev Bras Ortop. 2008;43:209–16.
Awad W, Garay A, Martínez C. Ten years experience of banded gastric bypass: does it make a difference? Obes Surg. 2012;22:271–8.
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;244:734–40.
Csendes A, Papapietro K, Burgos AM, et al. Efecto del bypass gástrico a largo plazo (7 a 10 años) en pacientes con obesidad severa y mórbida sobre el peso corporal, diabetes, dislipidemia y desarrollo de anemia. Rev Med Chile. 2011;139:1414–20.
Jones Jr K. Experience with the Roux-en-Y gastric bypass and commentary on current trends. Obes Surg. 2000;10:183–5.
Sjöström L, Lindroos AK, Peltonen M, et al. for the Swedish obese subjects study scientific group. Lifestyle, diabetes and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.
Meguid MM, Glade MJ, Middleton FA. Weight regain after Roux-en-Y: a significant 20% complication related to PYY. Nutrition. 2008;24:832–42.
Magro DO, Geloneze B, Delfini R, et al. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg. 2008;18:648–51.
Borg CM, le Roux CW, Ghatei MA, et al. Progressive rise in gut hormone levels after Roux-en-Y gastric bypass suggests gut adaptation and explains altered satiety. Br J Surg. 2006;93:210–5.
Dar MS, Chapman WH, Pender JR, et al. GLP-1 Response to a mixed meal: what happens 10 years after Roux-en-Y gastric bypass (RYGB)? Obes Surg. 2012;22:1077–83.
Valezi AC, Brito EM, Souza JC, et al. A importância do anel de silicone na derivação gástrica em Y-de-Roux para o tratamento da obesidade. Rev Col Bras Cir. 2008;35:18–22.
Mali Jr J, Herbella FAM, Valezi AC, et al. Influence of the actual diameter of the gastric pouch outlet in weight loss after silicon ring Roux-en-Y gastric bypass: an endoscopic study. Obes Surg. 2010;20:1231–5.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Valezi, A.C., de Almeida Menezes, M. & Mali, J. Weight Loss Outcome After Roux-en-Y Gastric Bypass: 10 Years of Follow-up. OBES SURG 23, 1290–1293 (2013). https://doi.org/10.1007/s11695-013-0908-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-013-0908-0