Long-term follow-up of patients' status after gastric bypass.
BACKGROUND
We report a long-term (13-15 year) follow-up of a cohort of 100 patients who underwent gastric bypass for morbid obesity.


METHODS
Sources of information include baseline data collected before surgery and information obtained at follow-up interview including data on weight history, psychosocial functioning, and medical complications.


RESULTS
Mean age at follow-up was 56.8 years. The mean weight loss at long-term follow-up was 29.5 kg (range -13.6 to 93.6 kg). Three subjects weighed more at long-term follow-up than before the operation. Overall, 74% of those interviewed indicated that the gastric bypass had benefited them in terms of their physical health. However, 68.8% reported continued problems with vomiting and 42.7% with "plugging". Eight had died.


CONCLUSIONS
The findings in this study suggest that at long-term follow-up the majority of individuals who have undergone gastric bypass feel that the procedure benefited them, although some complications including difficulties with "plugging" and vomiting were present at long-term follow-up.
Mitchell
J E
JE
Neuropsychiatric Research Institute, 700 1st Avenue South, P.O. Box 1415, Fargo, ND 58107, USA. mitchell@mail.med.und.nodak.edu
Lancaster
K L
KL
Burgard
M A
MA
Howell
L M
LM
Krahn
D D
DD
Crosby
R D
RD
Wonderlich
S A
SA
Gosnell
B A
BA
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000209:etiology; D015992:Body Mass Index; D002032:Bulimia / Q000175:diagnosis / Q000209:etiology; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology; D015431:Weight Loss