Clinical ScienceBariatric surgery outcomes in black patients with super morbid obesity: a 1-year postoperative review
Section snippets
Methods
We conducted a retrospective review of prospectively collected data of patients undergoing weight loss surgery from August 2008 to June 2013 at the Howard University Center for Wellness and Weight Loss Surgery in Washington, DC. Howard University Center for Wellness and Weight Loss Surgery is an accredited Center of Excellence by the American College of Surgeons Bariatric Surgery Center Network. Using the National Institutes of Health criteria17 for patient selection, all patients underwent
Results
We reviewed a total number of 284 patients; 87 of which met our inclusion criteria. Of the 87 patients, the majority was female (87%). The mean age at time of surgery was 42 ± 10.3 years. The mean preoperative weight was 347.2 ± 56.3 lbs, and mean preoperative BMI was 56.7 ± 6.4 kg/m2. The most common comorbid condition was hypertension (74%), followed by diabetes mellitus (32%), and hyperlipidemia (26%). Eighty percent of our patients underwent LRYGB, while 20% underwent LSG. As a group,
Univariate
Our study focused exclusively on 87 black patients with a BMI ≥ 50 kg/m2. The majority of our patients were female with an average age of 42 years. While studies by Lutfi et al19 and Melton et al20 were able to conclude that the higher the BMI of a patient is above 50, the less weight they will lose when compared to patients with a BMI of less than 50 kg/m2, our patients showed a marked decrease in BMI. Our overall patient population had a change in weight of a 100 lbs and BMI of 16.7 kg/m2 in
Conclusions
Black patients with SMO had a significant decrease in BMI, excess weight loss, and resolution of comorbidities at 12 months after bariatric surgery. This suggests bariatric surgery may be a viable modality in the treatment of SMO black patients. Longer follow-up will be necessary to elucidate quality of life metrics and sustainable weight loss.
References (39)
- et al.
Gastric bypass for treating severe obesity
Am J Clin Nutr
(1992) - et al.
The role of gastric surgery in the multidisciplinary management of severe obesity
Am J Surg
(1995) - et al.
Effect of preoperative body mass index on weight loss after obesity surgery
Surg Obes Relat Dis
(2013) - et al.
Suboptimal weight loss after gastric bypass surgery: correlation of demographics, comorbidities, and insurance status with outcomes
J Gastrointest Surg
(2008) - et al.
Outcome after laparoscopic gastric bypass for super-super obese patients
J Visc Surg
(2013) Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers
Surg Obes Relat Dis
(2005)- et al.
Three-year weight outcomes from a bariatric surgery registry in a large integrated healthcare system
Surg Obes Relat Dis
(2014) - et al.
Laparoscopic Roux en y gastric bypass: 10 year follow up
Surg Obes Rel Dis
(2011) - et al.
Prevalence of obesity among adults: United States, 2011-2012
NCHS Data Brief
(2013) - et al.
Prevalence of childhood and adult obesity in the United States, 2011-2012
JAMA
(2014)
Bariatric surgery: mechanisms, indications and outcomes
J Gastroenterol Hepatol
Morbid obesity rates continue to rise rapidly in the United States
Int J Obes (Lond)
Biological effects of bariatric surgery on obesity-related comorbidities
Can J Surg
Outcomes after laparoscopic Roux en y gastric bypass for morbid obesity
Ann Surg
Perioperative safety in the longitudinal assessment of bariatric surgery
N Engl J Med
Prevalence of co-morbidities in obese patients before bariatric surgery: effect of race
Obes Surg
Independent association of waist circumference with hypertension and diabetes in African American women, South Carolina, 2007-2009
Prev Chronic Dis
Cited by (6)
An update on physical health and economic consequences of overweight and obesity
2018, Diabetes and Metabolic Syndrome: Clinical Research and ReviewsCitation Excerpt :Weight loss can also be obtained by bariatric surgery - a weight loss-induced surgical procedure. According to Onyewu et al. hypertension was no longer found in 45% of patients who underwent bariatric surgery [45]. These weight loss interventions, therefore, are often used for hypertensive patients.
Association of obesity with hypertension
2017, Annals of Translational Medicine
There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
The authors declare no conflicts of interest.