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Long-term follow-up of patients' status after gastric bypass
J E Mitchell1, K L Lancaster, M A Burgard
1Neuropsychiatric Research Institute, 700 1st Avenue South, P.O. Box 1415, Fargo, ND 58107, USA. mitchell@mail.med.und.nodak.edu
Background:
We report a long-term (13-15 year) follow-up of a cohort of 100 patients who underwent gastric bypass for morbid obesity.
Methods:
Sources of information include baseline data collected before surgery and information obtained at follow-up interview including data on weight history, psychosocial functioning, and medical complications.
Results:
Mean age at follow-up was 56.8 years. The mean weight loss at long-term follow-up was 29.5 kg (range -13.6 to 93.6 kg). Three subjects weighed more at long-term follow-up than before the operation. Overall, 74% of those interviewed indicated that the gastric bypass had benefited them in terms of their physical health. However, 68.8% reported continued problems with vomiting and 42.7% with "plugging". Eight had died.
Conclusion:
The findings in this study suggest that at long-term follow-up the majority of individuals who have undergone gastric bypass feel that the procedure benefited them, although some complications including difficulties with "plugging" and vomiting were present at long-term follow-up.