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Roux-en-Y Gastric Bypass Improves Hypertension, Hyperlipidemia and Type 2 Diabetes

Roux-en-Y Stomach Bypass Improves Blood Pressure, Blood Fats and Type 2 Diabetes

Bariatric Surgery - Bariatric Research Studies

Roux-en-Y Gastric Bypass Significantly Improves Hypertension, Hyperlipidemia and Type 2 Diabetes

The authors analyzed previously studied outcomes of Roux-en-Y gastric bypass (RYGBP), examined pre-surgical factors of post-surgical outcomes, and examined some of the psychosocial benefits.

Method

A retrospective chart review was conducted of 138 patients who underwent Roux-en-Y gastric bypass between 1997 and 2000. Pre-surgical BMI, cholesterol, blood pressure, creatinine, number of antidepressant/ glycemic drugs, and hemoglobin were recorded. Post-surgical follow-up was reviewed to examine changes.

Results

Statistically significant changes were found in BMI, hypertension, cholesterol and glycemic control. Surgery was found to reduce creatinine from a pre-surgery average of 1.14 to 1.01. Patients with early post-operative complications (defined as length of stay > 6 days or re-hospitalization within 1 month following surgery) had an average BMI of 57.58 vs a BMI of 49.9 in those who did not experience any complications. There was a statistically significant decrease in the rate of anti-depressant use following surgery. 49 patients were on antidepressants before surgery vs 38 following surgery.

Conclusion

Roux-en-Y gastric bypass significantly improves hypertension, hyperlipidemia and type II diabetes, and may also improve kidney function. Patients with higher pre-surgical BMIs are at greater risk for post-surgical complications. Postoperative antidepressant use appears to decrease.

Source:
Holzwarth R, Huber D, Majkrzak A, Tareen B. University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources