Is bariatric surgery effective for co-morbidity resolution in the super-obese patients?

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Kamyar HaririGustavo Fernandez-Ranvier

Abstract

Type 2 diabetes (T2D), obstructive sleep apnea (OSA), hypertension (HTN), and hyperlipidemia (HLD) are common co-morbidities that are strongly associated with obesity. The purpose of this study was to compare the rate of obesity-related co-morbidity remission and percent total body weight loss of super-obese patients with a body mass index (BMI) ≥50 kg/m2 with bariatric patients who have a BMI of 30 to 49.9 kg/m2. Academic hospital, United States. A retrospective analysis of outcomes of a prospectively maintained database was done on obese patients with a diagnosis of ≥1 co-morbidity (T2D, OSA, HTN, or HLD) who at the time of initial visit had undergone either a sleeve gastrectomy or a Roux-en-Y gastric bypass at our hospital between 2011 and 2015. The patients were stratified based on their preoperative BMI class, BMI of 30 to 49.9 kg/m2 versus BMI ≥50 kg/m2. Of the 930 patients, 732 underwent sleeve gastrectomy and 198 underwent Roux-en-Y gastric bypass. The 6-month follow-up co-morbidity remission rates for patients with a BMI of 30 to 49.9 kg/m2 (n = 759) versus super-obese patients (n = 171) were 46.0% and 36.7% (P = .348) for T2D; 75.0% and 73.2% (P = .772) for OSA; 35.0% and 22.0% (P = .142) for HTN; and 37.0% and 21.0% ...Continue Reading

Citations

May 20, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Marta HidalgoJosé M Fort
Sep 22, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Antonio VitielloMario Musella
Aug 6, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·David KentChristopher G Harrod
Oct 14, 2021·Obesity Surgery·Sofia Raquel Gomes-RochaUNKNOWN CRI-O Group
Jan 23, 2022·Surgical Endoscopy·Mohammad KermansaraviScott Shikora

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