Quality of life and resolution of co-morbidities in super-obese patients remaining morbidly obese after Roux-en- Y gastric bypass

Abstract Background Not all patients undergoing Roux-en- Y gastric bypass with an initial body mass index (BMI) >50 kg/m2 attain a BMI of 50 kg/m2 and postoperative BMI >35 kg/m2 were identified. The records of 120 patients were reviewed for the presence of diabetes, hypertension, hyperlipidemia, and gastroesophageal reflux disease. Patients were queried about their use of medications, medical problems, and quality of life. Results The average preoperative and postoperative BMI was 63.2 and 43.7 kg/m2 . Of the 120 patients, 77 responded to the survey. In the preoperative group, the rate of diabetes, hypertension, hyperlipidemia, and gastroesophageal reflux disease was 35%, 50.8%, 15%, and 34.2%, respectively. Postoperatively, 73.8%, 62.3%, 38.9%, and 87.8% of patients had been cured of these co-morbidities. The change in the incidence of diabetes, hypertension, and gastroesophageal reflux disease was significant at P = 0.0014, P = 0.037, and P 35 kg/m2.