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• W4251444493 abstract "Roux-en-Y gastric bypass (RYGB) is an effective treatment for weight loss in patients with morbid obesity. However, few studies have assessed its long-term efficacy in super-obese patients. The study objective was to analyse the long-term effectiveness of RYGB and its effect on improvement of comorbidities after 10 years of follow-up, and to compare the results depending on baseline BMI (<50 kg/m2 vs ≥50 kg/m2). A retrospective study was conducted in 63 patients referred for RYGB with a 10-year or longer follow-up period. Mean BMI before surgery was 55 kg/m2. Mean BMI decreased to 38.1 kg/m2 at 10 years of follow-up. The success rates according to Reinhold criteria modified by Christou and to Biron's criteria were 30.2% and 54% respectively. The corresponding rates in super-obese patients were 21.4% and 57.1%. Significant, stable improvement was seen in diabetes, dyslipidemia, hypertension, and sleep apnea. Sustained weight loss was achieved after gastric bypass, with a mean excess weight loss of 50.6% after 10 years despite the high prevalence of super-obesity. Comorbidity improvement was maintained. El baipás gástrico en Y de Roux (RYGB) es un tratamiento efectivo para la pérdida de peso en pacientes con obesidad mórbida. Sin embargo, en pocos estudios se ha evaluado su eficacia a largo plazo en pacientes con superobesidad (IMC ≥ 50 kg/m2). El objetivo es analizar la efectividad del RYGB, su efecto sobre la mejoría de las comorbilidades tras 10 años de seguimiento y comparar los resultados en función del IMC inicial (<50 kg/m2 vs ≥ 50 kg/m2). Se realizó un estudio retrospectivo sobre 63 pacientes remitidos a RYGB con periodo de seguimiento igual o superior a 10 años. El IMC medio precirugía fue 55 kg/m2. El IMC medio descendió a 38,1 kg/m2 a los 10 años de seguimiento. Las tasas de éxito según los criterios de Reinhold modificados por Christou y según los criterios de Biron fueron 30,2 y 54%. En pacientes con superobesidad estas tasas fueron 21,4 y 57,1%. Se observó remisión estable y significativa de la diabetes, hipertensión y apnea del sueño. Tras la cirugía bariátrica se consiguió pérdida de peso sostenida, con un porcentaje de exceso de peso perdido de 50,6% a los 10 años a pesar de la alta prevalencia de superobesidad. La mejoría de las comorbilidades permaneció estable." @default.
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• W4251444493 date "2017-06-01" @default.
• W4251444493 modified "2023-10-18" @default.
• W4251444493 title "Anthropometric parameters and permanent remission of comorbidities 10 years after open gastric bypass in a cohort with high prevalence of super-obesity" @default.
• W4251444493 doi "https://doi.org/10.1016/j.endien.2017.08.008" @default.
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