does preoperative weight change predict postoperative weight loss after laparoscopic roux-en-y gastric bypass in the short term术前体重变化预测术后体重roux - en - y腹腔镜胃旁路手术后短期内.pdfVIP

Hindawi Publishing Corporation Journal of Obesity Volume 2010, Article ID 907097, 4 pages doi:10.1155/2010/907097 Research Article Does Preoperative Weight Change Predict Postoperative Weight Loss after Laparoscopic Roux-en-Y Gastric Bypass in the Short Term? Dan Eisenberg,1, 2 Andrew J. Duffy,3 and Robert L. Bell3 1 Department of Surgery, Stanford School of Medicine, Stanford, CA 94305, USA 2 Palo Alto VA Health Care System (PAVAHCS), 3801 Miranda Avenue, Palo Alto, CA 94304, USA 3 Section of Gastrointestinal Surgery, Department of Surgery, Yale School of Medicine, 40 Temple Street, Ste 7B, New Haven, CT 06520, USA Correspondence should be addressed to Dan Eisenberg, daneisenberg@ Received 1 June 2009; Revised 19 July 2009; Accepted 26 July 2009 Academic Editor: Marco Anselmino Copyright © 2010 Dan Eisenberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Many institutions mandate preoperative weight loss prior to bariatric surgery. This study examines the correlation between preoperative weight change and postoperative success following laparoscopic Roux-en-Y gastric bypass. Methods. We retrospectively studied the correlation between change in BMI before surgery and change in BMI postoperatively, using linear regression analyses and one-way ANOVA, in 256 consecutive gastric bypass patients with 1-year followup. Results. Of 256 patients, 125 lost weight preoperatively (mean −1.7% BMI), while 131 maintained or gained weight (mean +1.2% BMI). Postoperatively, there was no significant difference in percent BMI loss between the two groups (34.6% and 34.5%). The percent chan