The main aim of this study is to analyze and report the very long-term outcomes after primary laparoscopic proximal Roux-en-Y gastric bypass surgery for clinically severe obesity.
There is lack of very-long term outcomes after bariatric surgery; A few series have been reported. However, most of them analyze medium-term outcomes. For RYGB, there are just two retrospective cohort studies reporting very long-term outcomes. Both studies have an open approach and a proximal Roux-en-Y configuration with different pouch orientation and size. MacLean´s series, with a better follow-up rate (83.4%), had a 67.6%EWL at a mean of 11.4 years; Failure rates were 20 and 35% for the morbidly obese and super obese, respectively. We will analyze our own series with a laparoscopic approach, vertically, lesser-curve base \< 10-15ml pouch and proximal Roux limb. The main end-points for our study are 1) Morbidity including status of specific biochemical markers \& Mortality, 2) Weight loss expressed as BMI or %EWL, 3) Trends in major comorbidities and 4) Assessment of Quality of Life.
Study Type
OBSERVATIONAL
Enrollment
242
UCSF Fresno Center for Medical Education and Research, Department of Surgery
Fresno, California, United States
Weight loss expressed as Body Mass Index and Percentage excess weight loss
Time frame: throughout follow-up
Comorbidity status
Time frame: throughout follow-up
Health-related Quality of Life (HR-QoL)
Time frame: at last follow-up
Subjective satisfaction
Time frame: at the last follow-up
Morbidity and mortality
Time frame: throughout follow-up
Nutritional and metabolic status
Time frame: throughout follow-up
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