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- Title
Roux-en-Y Gastric Bypass.
- Authors
Fernández-Ruiz, V. E.; Armero-Barranco, D.; Xandri-Graupera, J. M.; Paniagua-Urbano, J. A.; Solé-Agustí, M.; Mulero, J.
- Abstract
Background: Roux-en-Y gastric bypass (RYGB) is considered the gold standard for gastric bypass, displaying better results for metabolic disorders than other surgical procedures over the long term. The aim of this study was to determine the effects of bariatric surgery, in particular the RYGB technique, on metabolic syndrome (MS) and other biochemical parameters implicit in the comorbid conditions associated with obesity, as well as to explore the influence of this surgical procedure on psychiatric comorbidity in the study population. Method: An observational retrospective cohort study based on 146 clinical records of patients having undergone RYGB between January 1, 2011, and January 1, 2014, was performed. Data related to metabolic and psychiatric comorbidity were gathered at three stages: prior to surgery and at 3 and 9 months following surgery. Results: There was a progressive and statistically significant reduction of all biochemical parameters analyzed at 3 and 9 months following surgery except high-density lipoprotein cholesterol, which significantly increased (beneficial) in value. These changes imply a remission of >90% for all metabolic disorders and the consequent tendency toward a reduction in prescribed pharmacological treatments, with MS found in only one subject at 9 months. There was, however, no significant reduction in pharmacological treatments for psychiatric comorbidities. Conclusion: Findings suggest that RYGB is an effective treatment for MS and other metabolic disorders but not for psychiatric comorbidities accompanying MS.
- Subjects
ANTIDEPRESSANTS; BLOOD sugar analysis; ANALYSIS of triglycerides; ACADEMIC medical centers; ANALYSIS of variance; BIOMARKERS; BLOOD pressure; CHI-squared test; CHOLESTEROL; CONFIDENCE intervals; GLYCOSYLATED hemoglobin; LONGITUDINAL method; MENTAL illness; MULTIVARIATE analysis; PATIENTS; PROBABILITY theory; RESEARCH funding; SURGERY; WEIGHT loss; COMORBIDITY; DATA analysis; SOCIOECONOMIC factors; GASTRIC bypass; METABOLIC syndrome; MORBID obesity; BODY mass index; TREATMENT effectiveness; REPEATED measures design; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; PSYCHOLOGY
- Publication
Biological Research for Nursing, 2017, Vol 19, Issue 2, p162
- ISSN
1099-8004
- Publication type
Article
- DOI
10.1177/1099800416675406