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, hyperlipidem...
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| creator | Bennett, John C., M.D Wang, Hongkun Schirmer, Bruce D., M.D Northup, C. Joe, M.D |
| description | 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. |
| doi_str_mv | 10.1016/j.soard.2007.02.013 |
| format | Article |
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Joe, M.D</creator><creatorcontrib>Bennett, John C., M.D ; Wang, Hongkun ; Schirmer, Bruce D., M.D ; Northup, C. Joe, M.D</creatorcontrib><description>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 <35 kg/m2 postoperatively. We hypothesized that even though many of these patients remain morbidly obese after surgery, they still realize an improvement in co-morbidities and quality of life. Methods Patients who had undergone Roux-en- Y gastric bypass and who had a preoperative BMI >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 <0.0001, respectively. More than 90% of patients considered themselves to be better postoperatively in the areas of overall health and ability to move about; 80–90% had improved ability to exercise, greater energy levels, more self esteem, and an improved physical appearance; 70–80% saw their ability to work and their social relationships as improved; and 56% believed their sexual relationships had improved. Conclusion Super-obese patients experience significant improvements in co-morbidities and quality of life after Roux-en- Y gastric bypass even if their BMI remains >35 kg/m2.</description><identifier>ISSN: 1550-7289</identifier><identifier>EISSN: 1878-7533</identifier><identifier>DOI: 10.1016/j.soard.2007.02.013</identifier><identifier>PMID: 17533102</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anastomosis, Roux-en-Y ; Bariatric surgery ; Body Mass Index ; Chi-Square Distribution ; Co-morbid conditions ; Co-morbidities ; Comorbidity ; Female ; Gastric bypass ; Gastric Bypass - methods ; Gastroenterology and Hepatology ; Humans ; Male ; Morbid obesity ; Obesity, Morbid - psychology ; Obesity, Morbid - surgery ; Patient Satisfaction ; Quality of Life ; Super obese ; Surgery ; Treatment Outcome</subject><ispartof>Surgery for obesity and related diseases, 2007-05, Vol.3 (3), p.387-391</ispartof><rights>American Society for Bariatric Surgery</rights><rights>2007 American Society for Bariatric Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-c9a5983182ba75334a3c89a1e39df3c31c3f3d70965cf9984c90b5a4c83b78b83</citedby><cites>FETCH-LOGICAL-c412t-c9a5983182ba75334a3c89a1e39df3c31c3f3d70965cf9984c90b5a4c83b78b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.soard.2007.02.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17533102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bennett, John C., M.D</creatorcontrib><creatorcontrib>Wang, Hongkun</creatorcontrib><creatorcontrib>Schirmer, Bruce D., M.D</creatorcontrib><creatorcontrib>Northup, C. Joe, M.D</creatorcontrib><title>Quality of life and resolution of co-morbidities in super-obese patients remaining morbidly obese after Roux-en- Y gastric bypass</title><title>Surgery for obesity and related diseases</title><addtitle>Surg Obes Relat Dis</addtitle><description>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 <35 kg/m2 postoperatively. We hypothesized that even though many of these patients remain morbidly obese after surgery, they still realize an improvement in co-morbidities and quality of life. Methods Patients who had undergone Roux-en- Y gastric bypass and who had a preoperative BMI >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 <0.0001, respectively. More than 90% of patients considered themselves to be better postoperatively in the areas of overall health and ability to move about; 80–90% had improved ability to exercise, greater energy levels, more self esteem, and an improved physical appearance; 70–80% saw their ability to work and their social relationships as improved; and 56% believed their sexual relationships had improved. Conclusion Super-obese patients experience significant improvements in co-morbidities and quality of life after Roux-en- Y gastric bypass even if their BMI remains >35 kg/m2.</description><subject>Anastomosis, Roux-en-Y</subject><subject>Bariatric surgery</subject><subject>Body Mass Index</subject><subject>Chi-Square Distribution</subject><subject>Co-morbid conditions</subject><subject>Co-morbidities</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gastric bypass</subject><subject>Gastric Bypass - methods</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Male</subject><subject>Morbid obesity</subject><subject>Obesity, Morbid - psychology</subject><subject>Obesity, Morbid - surgery</subject><subject>Patient Satisfaction</subject><subject>Quality of Life</subject><subject>Super obese</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1550-7289</issn><issn>1878-7533</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc-L1TAQx4so7g_9CwTJyVvrJHl9SQ4KsqgrLMju6sFTSNPpkmfb1Ey7-I77n5vueyB48ZQwfL6TyWeK4hWHigPfvt1VFF1qKwGgKhAVcPmkOOVa6VLVUj7N97qGUgltToozoh2A3NZKPC9O-ApwEKfFw_Xi-jDvWexYHzpkbmxZQor9Moc4rmUfyyGmJrRhDkgsjIyWCVMZGyRkk8vVcaYcGlwYw3jHDnSfez4SrpsxsZu4_C5xLNkPdudoTsGzZj85ohfFs871hC-P53nx_dPHbxeX5dXXz18uPlyVfsPFXHrjaqMl16Jx6_QbJ702jqM0bSe95F52slVgtrXvjNEbb6Cp3cZr2SjdaHlevDn0nVL8tSDNdgjkse_diHEhq6CuBdcyg_IA-hSJEnZ2SmFwaW852NW83dlH83Y1b0HYbD6nXh_bL82A7d_MUXUG3h0AzJ-8D5gs-WzOYxsS-tm2Mfzngff_5H2ffXvX_8Q90i4uacz-LLeUA_Z2Xf66e1AAXAiQfwAe46wc</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Bennett, John C., M.D</creator><creator>Wang, Hongkun</creator><creator>Schirmer, Bruce D., M.D</creator><creator>Northup, C. Joe, M.D</creator><general>Elsevier Inc</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>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Quality of life and resolution of co-morbidities in super-obese patients remaining morbidly obese after Roux-en- Y gastric bypass</title><author>Bennett, John C., M.D ; Wang, Hongkun ; Schirmer, Bruce D., M.D ; Northup, C. Joe, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-c9a5983182ba75334a3c89a1e39df3c31c3f3d70965cf9984c90b5a4c83b78b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Anastomosis, Roux-en-Y</topic><topic>Bariatric surgery</topic><topic>Body Mass Index</topic><topic>Chi-Square Distribution</topic><topic>Co-morbid conditions</topic><topic>Co-morbidities</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gastric bypass</topic><topic>Gastric Bypass - methods</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Male</topic><topic>Morbid obesity</topic><topic>Obesity, Morbid - psychology</topic><topic>Obesity, Morbid - surgery</topic><topic>Patient Satisfaction</topic><topic>Quality of Life</topic><topic>Super obese</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bennett, John C., M.D</creatorcontrib><creatorcontrib>Wang, Hongkun</creatorcontrib><creatorcontrib>Schirmer, Bruce D., M.D</creatorcontrib><creatorcontrib>Northup, C. Joe, M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery for obesity and related diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bennett, John C., M.D</au><au>Wang, Hongkun</au><au>Schirmer, Bruce D., M.D</au><au>Northup, C. Joe, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life and resolution of co-morbidities in super-obese patients remaining morbidly obese after Roux-en- Y gastric bypass</atitle><jtitle>Surgery for obesity and related diseases</jtitle><addtitle>Surg Obes Relat Dis</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>3</volume><issue>3</issue><spage>387</spage><epage>391</epage><pages>387-391</pages><issn>1550-7289</issn><eissn>1878-7533</eissn><abstract>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 <35 kg/m2 postoperatively. We hypothesized that even though many of these patients remain morbidly obese after surgery, they still realize an improvement in co-morbidities and quality of life. Methods Patients who had undergone Roux-en- Y gastric bypass and who had a preoperative BMI >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 <0.0001, respectively. More than 90% of patients considered themselves to be better postoperatively in the areas of overall health and ability to move about; 80–90% had improved ability to exercise, greater energy levels, more self esteem, and an improved physical appearance; 70–80% saw their ability to work and their social relationships as improved; and 56% believed their sexual relationships had improved. Conclusion Super-obese patients experience significant improvements in co-morbidities and quality of life after Roux-en- Y gastric bypass even if their BMI remains >35 kg/m2.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17533102</pmid><doi>10.1016/j.soard.2007.02.013</doi><tpages>5</tpages></addata></record> |
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| subjects | Anastomosis, Roux-en-Y Bariatric surgery Body Mass Index Chi-Square Distribution Co-morbid conditions Co-morbidities Comorbidity Female Gastric bypass Gastric Bypass - methods Gastroenterology and Hepatology Humans Male Morbid obesity Obesity, Morbid - psychology Obesity, Morbid - surgery Patient Satisfaction Quality of Life Super obese Surgery Treatment Outcome |
| title | Quality of life and resolution of co-morbidities in super-obese patients remaining morbidly obese after Roux-en- Y gastric bypass |
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