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Medical and Psychosocial Outcomes of Laparoscopic Roux-en-Y Gastric Bypass: Cross-sectional Findings at 4-Year Follow-up

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Abstract

Background

In conjunction with the Louisiana Office of Group Benefits, the Louisiana State University School of Medicine conducted a study to examine 4-year medical and psychosocial outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery in patients insured by a state-run managed care program.

Methods

Forty severely obese participants (body mass index >40 and <60 kg/m2) underwent LRYGB surgery. Four years later, self-reported data on weight, blood pressure, blood glucose, and cholesterol were collected from the participants via telephone, and chart reviews for most recent weight and laboratory measures available were requested from physicians of record. Participants also completed self-report measures of quality of life, depressive symptoms, binge eating, quality of eating style, and overall satisfaction with the surgery via telephone.

Results

Patients lost an average of 62% of excess weight. In addition, the sample showed favorable medical outcomes in terms of blood pressure, lipid profiles, and blood glucose. Patients reported low depression, good quality of life, high satisfaction with surgery, and no binge eating 4 years post-surgery. However, many participants reported concerns about eating habits as well as excessive intake of high-fat, high-calorie foods.

Conclusions

Overall, these results suggest healthy levels of psychosocial and medical functioning 4 years after LRYGB and highlight the need for long-term dietary counseling and support post-surgery.

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Acknowledgments

This study was supported by a contract from The Louisiana Office of Group Benefits. We acknowledge at OGB the continuing support of Dr. G. Tipton McKnight, Francine Kalt, and Casie Gueho. We would also like to acknowledge Anna Lundberg and Dr. Louis Martin for their work on the initial bariatric study. We also owe our thanks to Patti Boyd, Meghan McGlone, MPH, and Dr. William Johnson for their hard work and dedication towards completing this project.

Conflict of Interest Statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Louisiana State University System, Pennington Biomedical Research Center, 6400 Perkins Rd, Baton Rouge, LA, 70808-4124, USA

    Valerie H. Myers & Phillip J. Brantley

  2. Department of Psychology, Louisiana State University, Baton Rouge, LA, USA

    Claire E. Adams & Brooke L. Barbera

Authors
  1. Valerie H. Myers
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  2. Claire E. Adams
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  3. Brooke L. Barbera
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  4. Phillip J. Brantley
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Corresponding author

Correspondence to Valerie H. Myers.

Appendix

Appendix

I am going to read you some things people say about their experiences with bariatric surgery. For each item, keep in mind your thoughts and feelings since your surgery. We are interested in hearing both positive and negative feelings you may have about your surgery. How strongly do you agree or disagree with each of the following statements? Table 2

Table 2 Bariatric surgery satisfaction questionnaire
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Myers, V.H., Adams, C.E., Barbera, B.L. et al. Medical and Psychosocial Outcomes of Laparoscopic Roux-en-Y Gastric Bypass: Cross-sectional Findings at 4-Year Follow-up. OBES SURG 22, 230–239 (2012). https://doi.org/10.1007/s11695-010-0324-7

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