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Ann Surg. 2012 Aug;256(2):251-4. doi: 10.1097/SLA.0b013e3182565712.

Durability of Roux-en-Y gastric bypass surgery: a meta-regression study.

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  • 1Center for Functional and Restorative Neurosurgery, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA 19106, USA.

Abstract

OBJECTIVE:

The present meta-regression pools data from reports of long-term follow-up (>2 years) to assess durability of the efficacy associated with Roux-en-Y gastric bypass (RYGB) surgery.

DATA SOURCES:

Medline and PubMed searches for articles pertaining to long-term weight loss after RYGB surgery were performed.

BACKGROUND:

Various studies have consistently shown short-term (<2 years) efficacy of RYGB surgery for morbid obesity, corroborated by meta-analytic techniques. Relatively few studies have assessed efficacy over longer periods of time. This is the first meta-analysis to analyze long-term effects of RYGB surgery on weight loss.

METHODS:

Twenty-two reports with a total of 4206 patient cases were included. Sixteen of the 22 studies had multiple follow-up times, ranging from 2 to 12.3 years (mean: 3.6 years). An inverse variance weighted model and meta-regression were used to generate the pooled percent mean excess weight loss (EWL) and the durability of EWL over time, respectively.

RESULTS:

Meta-regression did not reveal any significant change in EWL over time. Pooled mean EWL was 66.5%, and there was no significant association between EWL and length of follow-up.

CONCLUSIONS:

Pooling data from multiple studies meta-analytically revealed that weight loss after RYGB is maintained over the long-term. Further investigation would be necessary to ascertain similar durability in comorbidity reduction after RYGB surgery.

PMID:
22584693
[PubMed - indexed for MEDLINE]
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