Document Detail


Assessment of comorbid conditions in veteran patients after Roux-en-Y gastric bypass.
MedLine Citation:
PMID:  17560908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The present study assessed the degree to which comorbid conditions improved after bariatric surgery in veteran patients. METHODS: A retrospective review of 55 patients (age 49.1 +/- 1.2, body mass index 49.3 +/- 1.2 kg/m2; 62% male) who underwent open Roux-en-Y gastric bypass surgery at the Dallas Veterans Administration Medical Center was performed. Univariate and multivariate analyses were used to determine factors associated with outcomes. RESULTS: There were 17 minor (8 patients with anastomotic ulcer, 5 patients with hernia, 1 patients with cholecystitis, 1 patients with a wound infection, and 2 patients with seroma) and 4 major (3 patients with pulmonary embolism and 1 patients with gastrojejunostomy leak) complications. Univariate analysis demonstrated that body mass index was associated with increased length of hospital stay but not with morbidity. Age was not associated with length of hospital stay or morbidity. There was improvement in 91% of patients affected with diabetes mellitus, in 89% with hypertension, in 80% with dyslipidemia, and in 62% with obstructive sleep apnea. COMMENTS: Roux-en-Y gastric bypass results in a marked amelioration or elimination of obesity-related comorbid conditions in veteran patients. Morbidity and mortality are within acceptable rage for these patients with substantial comorbidities.
Authors:
Sergio Huerta; Don Kohan; Ali Siddiqui; Thomas Anthony; Edward H Livingston
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  194     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-11     Completed Date:  2007-07-05     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  48-52     Citation Subset:  AIM; IM    
Affiliation:
University of Texas Southwestern Medical Center/Veterans Administration North Texas Health Care System, 4500 Lancaster Rd., Dallas, TX 75216, United States. sergio.huerta@utsouthwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Comorbidity
Diabetes Mellitus / epidemiology
Dyslipidemias / epidemiology
Female
Gastric Bypass*
Hospitals, Veterans
Humans
Hypertension / epidemiology
Male
Middle Aged
Obesity / epidemiology*,  surgery
Retrospective Studies
Sleep Apnea, Obstructive / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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