Malinda Lyon1, Chris Bashian1, Casey Sheck1, Leon Kushnir1, Gus J Slotman2. 1. Department of Surgery, Inspira Health Network, 1505 West Sherman Avenue, Vineland, NJ, USA. 2. Department of Surgery, Inspira Health Network, 1505 West Sherman Avenue, Vineland, NJ, USA. Electronic address: slotmang@ihn.org.
Abstract
BACKGROUND: Previously we have reported variation in pre-operative clinical characteristics between women and men undergoing laparoscopic roux-en-Y gastric bypass (LRYGB). However, variation by sex in post-operative outcomes following LRYGB has not been investigated. METHODS: Pre-operative data was compared to follow-up data at 12 months after surgery on 83,059 patients from the Surgical Review Corporation's BOLD database. Data included age, weight, BMI, and 31 obesity-related medical conditions. RESULTS: Men had increased weight, actual weight lost, and BMI. Women had higher rates of gastrointestinal and mental health disorders. Men failed to resolve cardiopulmonary/vascular and metabolic derangements, abdominal hernia, and were more functionally impaired than women. CONCLUSIONS: Overall, women may benefit more from LRYG than men, as their pre-operative conditions showed greater improvement at 12 months post-op. This advance knowledge may aid LRYGB planning and improve outcomes.
BACKGROUND: Previously we have reported variation in pre-operative clinical characteristics between women and men undergoing laparoscopic roux-en-Y gastric bypass (LRYGB). However, variation by sex in post-operative outcomes following LRYGB has not been investigated. METHODS: Pre-operative data was compared to follow-up data at 12 months after surgery on 83,059 patients from the Surgical Review Corporation's BOLD database. Data included age, weight, BMI, and 31 obesity-related medical conditions. RESULTS:Men had increased weight, actual weight lost, and BMI. Women had higher rates of gastrointestinal and mental health disorders. Men failed to resolve cardiopulmonary/vascular and metabolic derangements, abdominal hernia, and were more functionally impaired than women. CONCLUSIONS: Overall, women may benefit more from LRYG than men, as their pre-operative conditions showed greater improvement at 12 months post-op. This advance knowledge may aid LRYGB planning and improve outcomes.
Authors: Mark A Taylor; Lukasz Szczerbinski; Anna Citko; Magdalena Niemira; Maria Gorska; Hady Razak Hady; Adam Kretowski Journal: Nutrients Date: 2019-10-09 Impact factor: 5.717