Gastric bypass - 10 years' results.

Area of Science:

• Bariatric Surgery
• Metabolic Surgery
• Obesity Management

Background:

• Gastric bypass procedures are less common in the Czech Republic compared to simpler restrictive bariatric surgeries.
• Restrictive bariatric procedures often exhibit diminishing long-term effectiveness.
• This presentation focuses on the long-term outcomes of two distinct gastric bypass techniques.

Purpose of the Study:

• To evaluate the long-term results of laparoscopic Roux Y gastric bypass (RYGB) and one anastomosis/mini gastric bypass (OAGB/MGB).
• To assess weight development, comorbidity status, psychological well-being, and complication rates after gastric bypass surgery.
• To determine the overall effectiveness and safety of gastric bypass procedures over a 10-year period.

Main Methods:

• Retrospective analysis of prospectively collected data from patients undergoing laparoscopic RYGB and OAGB/MGB between 2010-2013.
• Evaluation using the BAROS system, focusing on weight loss, comorbidity resolution, psychological impact, and reoperations.
• Follow-up data collected to assess outcomes at a minimum of 10 years post-surgery.

Main Results:

• A 53% follow-up rate (32 out of 60 patients) was achieved, with an average weight loss of 34 kg (25.7% total basic weight loss).
• Significant improvements were observed in type 2 diabetes, hypertension, and sleep apnea, with most diabetic patients achieving remission.
• Eight patients required reoperation within 10 years, primarily for anastomotic ulceration, reflux, or suspected internal hernia; no 30-day mortality or peritonitis from leaks occurred.

Conclusions:

• Gastric bypasses are safe and achieve substantial, lasting metabolic benefits.
• These bariatric procedures effectively improve the quality of life for patients with obesity-related chronic diseases, particularly type 2 diabetes.
• The BAROS score of 5.56 indicates a "very good result" for gastric bypasses at the 10-year follow-up.