• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • 2022 NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Long Term Outcomes of Obesity Related Comorbidities After Roux-en-y Gastric Bypass in VA Patients

Shohan Shetty, MD, Jaime P Almandoz, MD, Ibrahim I Jabbour, MD, MPH, Nancy Puzziferri, MD. UT Southwestern Medical Center (Dallas, TX)

Introduction:

Obese patients in the Veterans Affairs (VA) Health Care System who undergo bariatric surgery differ from their civilian counterparts, as they are predominantly men, older aged, carry greater obesity related comorbidity burden and are of lower socioeconomic status. While studies have shown bariatric surgery significantly improves glycemic control and cardiometabolic risk factors, there is limited longitudinal data from the Veteran population. This study evaluated the long-term outcomes of VA patients following Roux-en-Y Gastric Bypass (RYGB) in regards to weight loss, type 2 diabetes mellitus (T2DM), hypertension, and hyperlipidemia.

Methods:

A retrospective review was conducted on consecutive patients diagnosed with T2DM who underwent RYGB at the VA North Texas Health Care System between 2003 and 2011. Data collection included demographics, absolute weight, body mass index (BMI), associated diagnoses, medications, and remission rates. Remission was defined as: hemoglobin A1c (HgbA1c) <6.5%, without medications for T2DM; blood pressure <140/90 mmHg without medications for hypertension; and cholesterol <200 mg/dl, high density lipoprotein (HDL) >40 mg/dl, low density lipoprotein (LDL) <160 mg/dl, and triglycerides <200 mg/dl, without medications for hyperlipidemia. Outcome means for absolute weight and BMI were compared by t test. Reported p values are 2-sided and considered significant at <0.05.

Results:

Eighty-five T2DM patients (73% males; mean age 54 years) underwent RYGB. Mean pre-operative weight and BMI were 151 kg (range 103–229 kg) and 49 kg/m2 (range 35–81 kg/m2), respectively. Ninety-two percent of patients also had hypertension and 84% had hyperlipidemia. All diagnoses were made by referral physicians, documented on the medical record, and treated with medication. At 4 years post-operation, with 80% follow-up, the mean weight was 107 kg (±57 SD; p <0.001) and mean BMI 46.2 kg/m2 (±7.2 SD; p <0.05). Preoperative mean HbA1c of 6.9 %(±1.2 SD) decreased to 6.3 %(±1.4 SD; p<0.01) postoperatively. Twenty-seven patients (31%) had remission of T2DM. Mean blood pressures did not meaningfully differ after RYGB (133/73 pre- versus 129/75 mmHg post-operation). Twelve patients (15%) had remission of hypertension. Cholesterol and LDL levels did not decrease significantly post-operation (172 to 159 mg/dl; p=0.06 and 92 to 82 mg/dl; p=0.11, respectively). HDL and triglycerides changed significantly after RYGB (42 to 54 mg/dl; p<0.001, and 198 to 124 mg/dl; p<0.001 respectively). The remission rate for hyperlipidemia was 15%.

Conclusions:

Long-term follow-up of VA patients with obesity and T2DM who underwent RYGB demonstrated significant and durable weight loss with marked improvement in obesity-related comorbidities including glycemic control, hypertension, and hyperlipidemia.

65

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2015 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons