title: Early Outcomes of Roux-en-Y Gastric Bypass in a Publically Funded Obesity Program.
abstract: Background. There is limited literature assessing the outcomes of bariatric surgery in a publically funded, North American, multidisciplinary bariatric program. Our objective was to assess outcomes of roux-en-Y gastric bypass (RYGB) in a publically funded bariatric program through a retrospective review of patient records. Methods. 293 patients spent a median of 13 months attending a multidisciplinary obesity clinic prior to undergoing laparoscopic RYGB surgery. The hospital was a Canadian, publically funded, level 2 trauma center with university teaching services. Results. 79% of the patients were female and the average BMI at first visit to clinic was 55.3 kg/m2. The average decrease in BMI was 19.2 ± 0.9 kg/m(2). This was an average absolute weight loss of 56.1 kg or 35.5% of initial weight. The average excess weight loss was 63.4 ± 20.4%. Improvement or resolution of obesity related comorbidities occurred in 65.9% of type 2 diabetics and in 50% of hypertensive patients. Conclusion. Despite this being an unconventional setting of a publically funded program in a large Canadian teaching hospital, early outcomes following RYGB were appropriate in severely obese patients. Ongoing work will identify areas of improvement for enhanced efficiencies within this system.
authors.affiliation: Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada T6G 2R7.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Whitlock
authors.affiliation: Department of Surgery, University of Alberta, Edmonton, AB, Canada T6G 2B7.
authors.forename: Richdeep S
authors.initials: RS
authors.lastname: Gill
authors.affiliation: Department of Surgery, University of Alberta, Edmonton, AB, Canada T6G 2B7.
authors.forename: Talal
authors.initials: T
authors.lastname: Ali
authors.affiliation: Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandia Hospital, Edmonton, AB, Canada T5H 3V9.
authors.forename: Xinzhe
authors.initials: X
authors.lastname: Shi
authors.affiliation: Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandia Hospital, Edmonton, AB, Canada T5H 3V9.
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Birch
authors.affiliation: Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandia Hospital, Edmonton, AB, Canada T5H 3V9.
authors.forename: Shahzeer
authors.initials: S
authors.lastname: Karmali