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01-07-2018 | Original Contributions

Comparative Outcomes of Bariatric Surgery in Patients with Impaired Mobility and Ambulatory Population

Authors: Gautam Sharma, Zubaidah Nor-Hanipah, Ivy N. Haskins, Suriya Punchai, Andrew T. Strong, Chao Tu, John H. Rodriguez, Phillip R. Schauer, Matthew Kroh

Published in: Obesity Surgery | Issue 7/2018

Abstract

Purpose

This study aims to characterize complications, metabolic improvement, and change in ambulation status for patients with impaired mobility undergoing bariatric surgery.

Material and Methods

Individuals undergoing primary sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from February 2008 to December 2015 were included. Impaired mobility (WC) was defined as using a wheelchair or motorized scooter for at least part of a typical day. The WC group was propensity score matched to ambulatory patients (1:5 ratio). Comparisons were made for 30-day morbidity and mortality and 1-year improvement in weight-related comorbidities.

Results

There were 93 patients in the WC group matched to 465 ambulatory controls. The median operative time (180 vs 159 min, p = 0.003) and postoperative length of stay (4 vs 3 days, p ≤ 0.001) was higher in the WC group. There were no differences in readmission or all-cause morbidity within 30 days. The median percent excess weight loss (%EWL) at 1 year was similar (WC group, 65% available, 53% EWL vs AMB group, 73% available, 54% EWL); however, patients with impaired mobility were less likely to experience improvement in diabetes (76 vs 90%, p = 0.046), hypertension (63 vs 82%, p < 0.005), and obstructive sleep apnea (53 vs 71%, p < 0.001). Within the WC group, 62% had improvement in their mobility status, eliminating dependence on wheelchair or scooter assistance.

Conclusion

Patients with both obesity and impaired mobility experience similar rates of perioperative morbidity and weight loss at 1 year compared to ambulatory controls. However, improvement in weight-related comorbidities may be less likely with impaired mobility.

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Title: Comparative Outcomes of Bariatric Surgery in Patients with Impaired Mobility and Ambulatory Population
Authors: Gautam Sharma
Zubaidah Nor-Hanipah
Ivy N. Haskins
Suriya Punchai
Andrew T. Strong
Chao Tu
John H. Rodriguez
Phillip R. Schauer
Matthew Kroh
Publication date: 01-07-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 7/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3132-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Comparative Outcomes of Bariatric Surgery in Patients with Impaired Mobility and Ambulatory Population

Abstract

Purpose

Material and Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Material and Methods

Results

Conclusion

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