Table of Contents
ISRN Obesity
Volume 2013, Article ID 296597, 8 pages
http://dx.doi.org/10.1155/2013/296597
Research Article

Early Outcomes of Roux-en-Y Gastric Bypass in a Publically Funded Obesity Program

1Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada T6G 2R7
2Department of Surgery, University of Alberta, Edmonton, AB, Canada T6G 2B7
3Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandia Hospital, Edmonton, AB, Canada T5H 3V9

Received 16 June 2013; Accepted 16 July 2013

Academic Editors: J. J. Gleysteen, S. J. Pintauro, Z. Shi, and S. Straube

Copyright © 2013 Kevin A. Whitlock et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  kg/m2. This was an average absolute weight loss of 56.1 kg or 35.5% of initial weight. The average excess weight loss was %. 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.