Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass?
Background Around 10 % of the bariatric surgery patients experience postoperative complications (
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| Veröffentlicht in: | Obesity surgery 2016-09, Vol.26 (9), p.2213-2220 |
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| container_title | Obesity surgery |
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| creator | Coblijn, U. K. de Raaff, C. A. L. Lagarde, S. M. de Castro, S. M. M. Vrouenraets, B. C. van Wagensveld, B. A. |
| description | Background
Around 10 % of the bariatric surgery patients experience postoperative complications ( |
| doi_str_mv | 10.1007/s11695-016-2094-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1812224343</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1812224343</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-6e531cf6c269d9b6e47b050b325c5362ebf81dc63dca91fc231d2d2ff22bd9d03</originalsourceid><addsrcrecordid>eNp1kcFq3DAQhkVpSTbbPkAvRdBLLko1I1u2TmW7adPCQkpoKTkJWZJTB6_lSnZo3ibP0ieLN05CCeQigebTN8z8hLwFfgScFx8SgFQ54yAZcpUx8YIsoOAl4xmWL8mCK8lZqVDsk4OULjlHkIh7ZB9lWQihigUJx4Guw7ZvG2uGJnSJrtrBR_o9pCH0Pk6PV57-8s3F74FuQkoU_t2cexPpqr7jYrM18ZqaztEzf9WkyWFaehbGv8x37JyemDTExtJP171J6eNr8qo2bfJv7u8l-fnl84_1V7Y5Pfm2Xm2YFQUOTPpcgK2lRamcqqTPiornvBKY21xI9FVdgrNSOGsU1BYFOHRY14iVU46LJTmcvX0Mf0afBr1tkvVtazofxqShBETMRCYm9P0T9DKMcZrijoJciN2xJDBTNk5biL7W_Ty6Bq53aeg5DT2loXdp6J353b15rLbePf54WP8E4AykqdRd-Phf62ett1FTlVg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1811533115</pqid></control><display><type>article</type><title>Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Coblijn, U. K. ; de Raaff, C. A. L. ; Lagarde, S. M. ; de Castro, S. M. M. ; Vrouenraets, B. C. ; van Wagensveld, B. A.</creator><creatorcontrib>Coblijn, U. K. ; de Raaff, C. A. L. ; Lagarde, S. M. ; de Castro, S. M. M. ; Vrouenraets, B. C. ; van Wagensveld, B. A.</creatorcontrib><description>Background
Around 10 % of the bariatric surgery patients experience postoperative complications (<30 days). It could be hypothesized that complications influence postoperative weight loss, which is one of the most important endpoints of bariatric surgery. Therefore, this study inventoried the effect of complications on postoperative weight loss.
Methods
A consecutive database including patients who were operated from November 2007 onwards was retrospectively reviewed. All short-term complications were classified according to the Clavien-Dindo classification. Weight loss was assessed at 6 and 12 months postoperatively.
Results
A total of 1130 patients underwent either primary (
n
= 907, 80.3 %) or revisional (
n
= 233, 19.7 %) surgery till October 2013. Short-term complications occurred in 115 (10.2 %) patients, of whom 48 (41.7 %) had a severe (Clavien-Dindo ≥ 3) complication. One year post surgery, 184 patients (16.3 %) were lost to follow-up. Patients with a short-term complication had a higher percentage of excess weight loss (%EWL) at 6 months (58.6 (SD 16.6) versus 52.9 (SD 17.6),
p
= 0.003) and 1 year (71.9 (SD 22.3) versus 65.9 (SD 21.3),
p
= 0.017) of follow-up. Although a trend was seen toward higher BMI loss and total weight loss (TWL) after 6 months, no effect was seen 1 year postoperatively. In multivariable linear regression analysis, complications were not a significant predictor for 1-year %EWL.
Conclusions
Although short-term complications alter 1-year %EWL, no effect was seen on BMI loss and TWL. In addition, complications were not a predictor in a multivariable linear regression model for 1-year %EWL. It can be concluded that short-term complications do not impair weight loss after Roux-en-Y gastric bypass.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-016-2094-3</identifier><identifier>PMID: 26873397</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Body mass index ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastric Bypass - statistics & numerical data ; Gastrointestinal surgery ; Humans ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Postoperative Complications - epidemiology ; Postoperative period ; Retrospective Studies ; Surgery ; Surgical outcomes ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2016-09, Vol.26 (9), p.2213-2220</ispartof><rights>Springer Science+Business Media New York 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-6e531cf6c269d9b6e47b050b325c5362ebf81dc63dca91fc231d2d2ff22bd9d03</citedby><cites>FETCH-LOGICAL-c372t-6e531cf6c269d9b6e47b050b325c5362ebf81dc63dca91fc231d2d2ff22bd9d03</cites><orcidid>0000-0002-2697-2604</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-016-2094-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-016-2094-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26873397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coblijn, U. K.</creatorcontrib><creatorcontrib>de Raaff, C. A. L.</creatorcontrib><creatorcontrib>Lagarde, S. M.</creatorcontrib><creatorcontrib>de Castro, S. M. M.</creatorcontrib><creatorcontrib>Vrouenraets, B. C.</creatorcontrib><creatorcontrib>van Wagensveld, B. A.</creatorcontrib><title>Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass?</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Around 10 % of the bariatric surgery patients experience postoperative complications (<30 days). It could be hypothesized that complications influence postoperative weight loss, which is one of the most important endpoints of bariatric surgery. Therefore, this study inventoried the effect of complications on postoperative weight loss.
Methods
A consecutive database including patients who were operated from November 2007 onwards was retrospectively reviewed. All short-term complications were classified according to the Clavien-Dindo classification. Weight loss was assessed at 6 and 12 months postoperatively.
Results
A total of 1130 patients underwent either primary (
n
= 907, 80.3 %) or revisional (
n
= 233, 19.7 %) surgery till October 2013. Short-term complications occurred in 115 (10.2 %) patients, of whom 48 (41.7 %) had a severe (Clavien-Dindo ≥ 3) complication. One year post surgery, 184 patients (16.3 %) were lost to follow-up. Patients with a short-term complication had a higher percentage of excess weight loss (%EWL) at 6 months (58.6 (SD 16.6) versus 52.9 (SD 17.6),
p
= 0.003) and 1 year (71.9 (SD 22.3) versus 65.9 (SD 21.3),
p
= 0.017) of follow-up. Although a trend was seen toward higher BMI loss and total weight loss (TWL) after 6 months, no effect was seen 1 year postoperatively. In multivariable linear regression analysis, complications were not a significant predictor for 1-year %EWL.
Conclusions
Although short-term complications alter 1-year %EWL, no effect was seen on BMI loss and TWL. In addition, complications were not a predictor in a multivariable linear regression model for 1-year %EWL. It can be concluded that short-term complications do not impair weight loss after Roux-en-Y gastric bypass.</description><subject>Body mass index</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastric Bypass - statistics & numerical data</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative period</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFq3DAQhkVpSTbbPkAvRdBLLko1I1u2TmW7adPCQkpoKTkJWZJTB6_lSnZo3ibP0ieLN05CCeQigebTN8z8hLwFfgScFx8SgFQ54yAZcpUx8YIsoOAl4xmWL8mCK8lZqVDsk4OULjlHkIh7ZB9lWQihigUJx4Guw7ZvG2uGJnSJrtrBR_o9pCH0Pk6PV57-8s3F74FuQkoU_t2cexPpqr7jYrM18ZqaztEzf9WkyWFaehbGv8x37JyemDTExtJP171J6eNr8qo2bfJv7u8l-fnl84_1V7Y5Pfm2Xm2YFQUOTPpcgK2lRamcqqTPiornvBKY21xI9FVdgrNSOGsU1BYFOHRY14iVU46LJTmcvX0Mf0afBr1tkvVtazofxqShBETMRCYm9P0T9DKMcZrijoJciN2xJDBTNk5biL7W_Ty6Bq53aeg5DT2loXdp6J353b15rLbePf54WP8E4AykqdRd-Phf62ett1FTlVg</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Coblijn, U. K.</creator><creator>de Raaff, C. A. L.</creator><creator>Lagarde, S. M.</creator><creator>de Castro, S. M. M.</creator><creator>Vrouenraets, B. C.</creator><creator>van Wagensveld, B. A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2697-2604</orcidid></search><sort><creationdate>20160901</creationdate><title>Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass?</title><author>Coblijn, U. K. ; de Raaff, C. A. L. ; Lagarde, S. M. ; de Castro, S. M. M. ; Vrouenraets, B. C. ; van Wagensveld, B. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-6e531cf6c269d9b6e47b050b325c5362ebf81dc63dca91fc231d2d2ff22bd9d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Body mass index</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - methods</topic><topic>Gastric Bypass - statistics & numerical data</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative period</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coblijn, U. K.</creatorcontrib><creatorcontrib>de Raaff, C. A. L.</creatorcontrib><creatorcontrib>Lagarde, S. M.</creatorcontrib><creatorcontrib>de Castro, S. M. M.</creatorcontrib><creatorcontrib>Vrouenraets, B. C.</creatorcontrib><creatorcontrib>van Wagensveld, B. A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coblijn, U. K.</au><au>de Raaff, C. A. L.</au><au>Lagarde, S. M.</au><au>de Castro, S. M. M.</au><au>Vrouenraets, B. C.</au><au>van Wagensveld, B. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass?</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>26</volume><issue>9</issue><spage>2213</spage><epage>2220</epage><pages>2213-2220</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Around 10 % of the bariatric surgery patients experience postoperative complications (<30 days). It could be hypothesized that complications influence postoperative weight loss, which is one of the most important endpoints of bariatric surgery. Therefore, this study inventoried the effect of complications on postoperative weight loss.
Methods
A consecutive database including patients who were operated from November 2007 onwards was retrospectively reviewed. All short-term complications were classified according to the Clavien-Dindo classification. Weight loss was assessed at 6 and 12 months postoperatively.
Results
A total of 1130 patients underwent either primary (
n
= 907, 80.3 %) or revisional (
n
= 233, 19.7 %) surgery till October 2013. Short-term complications occurred in 115 (10.2 %) patients, of whom 48 (41.7 %) had a severe (Clavien-Dindo ≥ 3) complication. One year post surgery, 184 patients (16.3 %) were lost to follow-up. Patients with a short-term complication had a higher percentage of excess weight loss (%EWL) at 6 months (58.6 (SD 16.6) versus 52.9 (SD 17.6),
p
= 0.003) and 1 year (71.9 (SD 22.3) versus 65.9 (SD 21.3),
p
= 0.017) of follow-up. Although a trend was seen toward higher BMI loss and total weight loss (TWL) after 6 months, no effect was seen 1 year postoperatively. In multivariable linear regression analysis, complications were not a significant predictor for 1-year %EWL.
Conclusions
Although short-term complications alter 1-year %EWL, no effect was seen on BMI loss and TWL. In addition, complications were not a predictor in a multivariable linear regression model for 1-year %EWL. It can be concluded that short-term complications do not impair weight loss after Roux-en-Y gastric bypass.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26873397</pmid><doi>10.1007/s11695-016-2094-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2697-2604</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2016-09, Vol.26 (9), p.2213-2220 |
| issn | 0960-8923 1708-0428 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Body mass index Gastric Bypass - adverse effects Gastric Bypass - methods Gastric Bypass - statistics & numerical data Gastrointestinal surgery Humans Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Postoperative Complications - epidemiology Postoperative period Retrospective Studies Surgery Surgical outcomes Weight control Weight Loss |
| title | Do Complications Alter Postoperative Weight Loss 1 Year After Primary and Revisional Roux-en-Y Gastric Bypass? |
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