open access
Personal history of obesity matters. Adolescent adiposity may influence the late results of gastric bypass performed in adults
open access
Abstract
Material and methods: This single centre retrospective cohort study evaluated changes in body mass index (BMI) after RYGB within 9–13 years. Questionnaires were sent by post to patients (n = 147) operated on between January 1999 and December 2003 in the Department of General and Transplant Surgery of Medical University, Lodz, Poland. Long-term data was obtained from 33.33% (n = 49, mean age 46.1 ± 10.7 years). Preoperative, nadir and actual BMI and differences between these values were calculated. Data was analysed with a cut-off BMI at 18 years old of 30 and 35 units (U).
Results: Patients with a BMI of more than 30 and 35 U in adulthood regained more weight after initial achievement of nadir total weight loss compared to their only adult obese counterparts. Preoperative BMI varied by weight at 18 years old (p = 0.02), while value and time to nadir postoperative BMI and actual BMI were comparable.
Conclusion: Adolescent obesity may be a risk factor for long-term RYGB failure. Surgery cannot be definitively curative in this group of patients, and continued active conservative treatment is required.
Abstract
Material and methods: This single centre retrospective cohort study evaluated changes in body mass index (BMI) after RYGB within 9–13 years. Questionnaires were sent by post to patients (n = 147) operated on between January 1999 and December 2003 in the Department of General and Transplant Surgery of Medical University, Lodz, Poland. Long-term data was obtained from 33.33% (n = 49, mean age 46.1 ± 10.7 years). Preoperative, nadir and actual BMI and differences between these values were calculated. Data was analysed with a cut-off BMI at 18 years old of 30 and 35 units (U).
Results: Patients with a BMI of more than 30 and 35 U in adulthood regained more weight after initial achievement of nadir total weight loss compared to their only adult obese counterparts. Preoperative BMI varied by weight at 18 years old (p = 0.02), while value and time to nadir postoperative BMI and actual BMI were comparable.
Conclusion: Adolescent obesity may be a risk factor for long-term RYGB failure. Surgery cannot be definitively curative in this group of patients, and continued active conservative treatment is required.
Keywords
adolescent obesity; late result of bariatric surgery; Roux-en-Y gastric bypass
About this articleTitle
Personal history of obesity matters. Adolescent adiposity may influence the late results of gastric bypass performed in adults
Journal
Issue
Article type
Original paper
Pages
2-6
Published online
2013-02-28
Page views
915
Article views/downloads
1746
Bibliographic record
Endokrynol Pol 2013;64(1):2-6.
Keywords
adolescent obesity
late result of bariatric surgery
Roux-en-Y gastric bypass
Authors
Adam Durczynski
Dariusz Szymanski
Michal Nowicki
Piotr Hogendorf
Justyna Chalubinska-Fendler
Katarzyna Wojciechowska-Durczynska
Leszek Czupryniak
Janusz Strzelczyk
