Bariatric surgery outcomes in black patients with super morbid obesity: a 1-year postoperative review.
BACKGROUND
Super morbid obesity (body mass index [BMI] > 50 kg/m2) is associated with significant comorbidities and is disparagingly prevalent among the black population. There is paucity of data regarding bariatric surgery outcomes among super morbid obese (SMO) blacks. Our aim is to evaluate the reduction in weight and resolution of comorbidities after bariatric surgery among SMO black patients at an urban academic institution.


METHODS
A retrospective review of SMO black patients who underwent bariatric surgery from August 2008 to June 2013 at Howard University Hospital. Outcomes of interest include weight loss, improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia at 12 months.


RESULTS
Eighty-seven patients met our inclusion criteria. Mean preoperative weight and BMI were 347.2 lbs and 56.8 kg/m2, respectively. At 12 months, mean weight and BMI were 245.3 lbs and 40.1 kg/m2, respectively. There was also significant improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia.


CONCLUSIONS
Bariatric surgery may result in significant weight loss and improvement or resolution of comorbidities in SMO black patients.
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA.
Samuel C
SC
Onyewu
Howard University College of Medicine, Washington, DC, USA.
Ololade O
OO
Ogundimu
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA.
Gezzer
G
Ortega
Howard University College of Medicine, Washington, DC, USA.
Edward S
ES
Bauer
Howard University College of Medicine, Washington, DC, USA.
Chijindu C
CC
Emenari
Howard University College of Medicine, Washington, DC, USA.
Neh D
ND
Molyneaux
Howard University College of Medicine, Washington, DC, USA.
Sylvonne A
SA
Layne
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA.
Navin R
NR
Changoor
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA.
Denia
D
Tapscott
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA.
Daniel D
DD
Tran
Department of Surgery, Howard University College of Medicine, Towers Building, Suite 4100B, 2041 Georgia Avenue, NW, Washington, DC 20060, USA. Electronic address: tfullum@howard.edu.
Terrence M
TM
Fullum
D000328:Adult; D001741:Black or African American; D050110:Bariatric Surgery; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000208:ethnology* / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
Bariatric surgery; Black patients; Comorbidities; Super morbid obesity