Læknablaðið - 01.10.2016, Síða 16

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R A N N S Ó K N
ENGLISH SUMMARY
Introduction: Laparoscopic roux-en-y gastric bypass (LRYGB) has
been performed at Landspitali University Hospital (LSH) since 2001. The
procedure represents an important treatment option for morbidly obese
patients. The aim of this study is to evaluate the long-term results of
these operations in Iceland.
Material and methods: All 772 consecutive patients undergoing LRYGB
at LSH during 2001-2015 were included. Information was collected from
a prospective database. Successful weight loss was defined as body
mass index (BMI) less than 33 kg/m2 or excess body mass index loss
(EBMIL) more than 50%.
Results: Mean age of patients was 41 years and 83% were females.
Mean pre-operative weight was 127 kg (±20) and mean BMI was 44
(±6). Mean %EBMIL was 80% after 1.5 year, 70% after 5 years and 64%
after 10-13 years. 85% of patients had successful weight loss with a
mean follow-up time of 7.4 years. Pre-operatively patients on average
had 2.8 obesity related comorbid diseases. 71% of patients with type 2
diabetes were in full remission after surgery. One third of patients with
hypertension and one third of patients with hyperlipidemia achieved
full remission after surgery. 37 patients (5%) had an early complication
and 174 (25%) had a late complication that frequently needed surgical
solution. Most patients (78%) needed repeated adjustment of vitamins
and minerals often many years after surgery.
Conclusion: Majority of patients achieved a successful weight loss and
most obesity related comorbidities are still in remission 7.4 years after
surgery. Early complications were rare but one fourth of patients had late
complications. Life long follow-up is of utmost importance after gastric
bypass surgery.
Outcome of gastric bypass surgery in Iceland 2001-2015
Rósamunda Þórarinsdóttir1, Vilhjálmur Pálmason1, Björn Geir Leifsson2, Hjörtur Gíslason2
1Department of Medicine, University of Iceland, 2Surgical department Landspitali University Hospital.
Key words: gastric bypass surgery in Iceland 2001-2015.
Correspondence: Hjörtur Gíslason, hjorturg@landspitali.is
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