Early Outcomes of Roux-en-Y Gastric Bypass in a Publically Funded Obesity Program. (21st August 2013)

• Record Type: Journal Article
• Authors: Whitlock, Kevin A.; Gill, Richdeep S.; Ali, Talal; Shi, Xinzhe; Birch, Daniel W.; Karmali, Shahzeer
• Other Names: Gleysteen J. J. Academic Editor.; Pintauro S. J. Academic Editor.; Shi Z. Academic Editor.; Straube S. Academic Editor.
• Is Part Of: ISRN obesity. Volume 2013(2013)
• Publication Date: 2013-08-21
• Subjects: Obesity -- Periodicals; Metabolism -- Disorders -- Periodicals; Obesity; Metabolism -- Disorders; Obesity; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; Electronic journals; 616.398
• DOI: 10.1155/2013/296597
• Languages: English
• ISSNs: 2090-9446

Abstract

Abstract : Background . There is limited literature assessing the outcomes of bariatric surgery in a publically funded, North American, multidisciplinary bariatric program. Our objective was to assess outcomes of roux-en-Y gastric bypass (RYGB) in a publically funded bariatric program through a retrospective review of patient records. Methods . 293 patients spent a median of 13 months attending a multidisciplinary obesity clinic prior to undergoing laparoscopic RYGB surgery. The hospital was a Canadian, publically funded, level 2 trauma center with university teaching services. Results . 79% of the patients were female and the average BMI at first visit to clinic was 55.3 kg/m2. The average decrease in BMI was 19.2 ± 0.9 kg/m 2 . This was an average absolute weight loss of 56.1 kg or 35.5% of initial weight. The average excess weight loss was 63.4 ± 20.4 %. Improvement or resolution of obesity related comorbidities occurred in 65.9% of type 2 diabetics and in 50% of hypertensive patients. Conclusion . Despite this being an unconventional setting of a publically funded program in a large Canadian teaching hospital, early outcomes following RYGB were appropriate in severely obese patients. Ongoing work will identify areas of improvement for enhanced efficiencies within this system.