Original articleInsurance-mandated preoperative dietary counseling does not improve outcome and increases dropout rates in patients considering gastric bypass surgery for morbid obesity
Section snippets
Methods
The database of 324 patients who underwent either an open or laparoscopic GBP procedure at the Virginia Commonwealth University from January 2000 to December 2002 was prospectively analyzed for clinical outcomes. The analysis included patients undergoing a primary GBP procedure; all revisions and conversions from a previous bariatric procedure to a GBP were excluded. This information was prospectively maintained and updated based on patients’ clinic and hospital charts. A follow-up period of at
Results
The demographic characteristics of the study population are given in Table 1. The PDC group had a higher number of male patients, higher BMI, and greater overall TBW compared with the no-PDC group, although these differences between groups were not statistically significant. A total of 238 patients underwent LGBP (188 of 252 patients in the no-PDC group [64.6%] and 50 of 72 in the PDC group [69.4%]; P = .45) and 86 underwent OGBP. Three deaths occurred after GBP surgery (one after LGBP and two
Discussion
The present study compared two groups of morbidly obese patients, one of which underwent insurance-mandated PDC before GBP. All patients studied qualified for this procedure based on the National Institutes of Health Consensus Criteria. We sought to determine whether PDC improves surgical outcomes in this select group of patients. Our findings suggest that PDC does not necessarily improve postoperative weight loss or complication rates.
Few studies have evaluated the feasibility of PDC before
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