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Surgical Endoscopy
Published in: Surgical Endoscopy 12/2020

Open Access 01-12-2020 | Dyslipidemia

Health benefits and risks during 10 years after Roux-en-Y gastric bypass

Authors: M. Chahal-Kummen, O. B. K. Salte, S. Hewitt, I. K. Blom-Høgestøl, H. Risstad, J. Kristinsson, T. Mala

Published in: Surgical Endoscopy | Issue 12/2020

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Abstract

Background

Long-term evaluations 10 years after Roux-en-Y gastric bypass (RYGB) are limited. We report the development in weight and cardiovascular risk factors during 10 years after laparoscopic RYGB, with evaluation of gastrointestinal symptoms and quality of life (QoL) at 10-year follow-up.

Methods

We performed a prospective longitudinal cohort study. Patients operated with laparoscopic RYGB from May 2004 to November 2006 were invited to 10-year follow-up consultations. Gastrointestinal Symptom Rating Scale (GSRS) questionnaire and two QoL questionnaires were used for analyses of gastrointestinal symptoms and QoL.

Results

A total of 203 patients were operated; nine (4.4%) died during follow-up. Of 194 eligible patients, 124 (63.9%) attended 10-year follow-up consultations. Percent excess weight loss (%EWL) and percent total weight loss (%TWL) at 10 years were 53.0% and 24.1%, respectively. %EWL > 50% was seen in 53.2%. Significant weight regain (≥15%) from 2 to 10 years was seen in 63.3%. Remission rates of type 2 diabetes, dyslipidemia, and hypertension were 56.8%, 46.0%, and 41.4%, respectively. Abdominal operations beyond 30 days after RYGB were reported in 33.9%. Internal hernia and ileus (13.7%) and gallstone-related disease (9.7%) were the most common causes. Vitamin D deficiency (<50nmol/L) was seen in 33.3%. At 10 years, bothersome abdominal pain and indigestion symptoms (GSRS scores ≥3) were reported in 42.9% and 54.0%, respectively, and were associated with low QoL.

Conclusion

We observed significant weight loss and remission of comorbidities 10 years after RYGB. Significant weight regain occurred in a substantial subset of patients. Gastrointestinal symptoms were common and negatively impacted QoL.
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Metadata
Title
Health benefits and risks during 10 years after Roux-en-Y gastric bypass
Authors
M. Chahal-Kummen
O. B. K. Salte
S. Hewitt
I. K. Blom-Høgestøl
H. Risstad
J. Kristinsson
T. Mala
Publication date
01-12-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 12/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-019-07328-2

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